BRENDA LANETTE WALLACE

PARKER, CO
NPI1053111971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CO  171948282)
Enumeration Date2025-03-18
Last Update Date2025-03-18
Business Address
BRENDA LANETTE WALLACE
19585 HESS RD UNIT 106
PARKER, CO 80134-3892
Phone number: 720-673-9132
Mailing Address
BRENDA LANETTE WALLACE
2405 PALMER CIR STE 100
NORMAN, OK 73069-6351
Phone number: