Individual
ASTER WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 ESSEX RD, BRANDON, FL 33510-2735
(813) 326-5835
Mailing address
918 ESSEX RD, BRANDON, FL 33510-2735
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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