JOSHUA WALLACE

STOCKTON, CA
NPI1124857404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies175T00000X Peer Specialist
(Licence: CA  MPSS-QTPCEG)
Enumeration Date2024-07-26
Last Update Date2025-02-19
Business Address
JOSHUA WALLACE
2453 GRAND CANAL BLVD STE A
STOCKTON, CA 95207-8138
Phone number: 855-223-7123
Mailing Address
JOSHUA WALLACE
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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