Individual
BARBARA JOYCE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 N LITCHFIELD RD STE 124, SURPRISE, AZ 85379-4260
(800) 376-3440
Mailing address
1585 N 113TH AVE STE 102, AVONDALE, AZ 85392-3938
(623) 322-8250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
08/15/2024
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