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Individual

HANNAH L WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
1300 E BRADFORD PKWY BLDG B, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2020026692
MO

Other

Enumeration date
10/15/2021
Last updated
08/13/2025
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