Individual
PAIGE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11000 COMMERCE PKWY, MOUNT LAUREL, NJ 08054-2233
(856) 250-8883
Mailing address
624 WALDEN CIR, ROBBINSVILLE, NJ 08691-3455
(908) 839-9201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
01/06/2024
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