Individual
BRITTANY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 TRADERS WAY APT 70205, SALEM, MA 01970-1391
(617) 909-3375
Mailing address
45 TRADERS WAY APT 70205, SALEM, MA 01970-1391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/17/2023
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