THEODORE WALLACE

READING, PA
NPI1225431190
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: PA  BH0001046)
Enumeration Date2014-10-06
Last Update Date2014-10-06
Business Address
-- THEODORE WALLACE
66 ROCKHAVEN COURT
READING, PA 19606
Phone number: 215-399-8996
Mailing Address
-- THEODORE WALLACE
66 ROCKHAVEN COURT
READING, PA 19606
Phone number: 215-399-8996
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