Individual
DANA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 869-4300
Mailing address
10684 ARUNDEL AVE, LAS VEGAS, NV 89135-1748
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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