Individual
MICHAEL WALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
21917 78TH PL W, EDMONDS, WA 98026-7877
(425) 420-7710
Mailing address
21917 78TH PL W, EDMONDS, WA 98026-7877
(425) 420-7710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/05/2014
Last updated
01/05/2014
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