Individual
ANGEL MALANA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 W BROAD ST STE 215, RICHMOND, VA 23230-5103
(804) 988-1150
Mailing address
906 LISSON CRES, RICHMOND, VA 23225-4242
(828) 337-8812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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