Individual
ALLISON JESSIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
500 KINGS HWY, NEW BEDFORD, MA 02745-4901
(508) 329-9819
Mailing address
264 CHURCH ST, NEW BEDFORD, MA 02745-5048
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-170477
NJ
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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