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1285384776
JACY SHEA WALLACE
CHANDLER, AZ
NPI
1285384776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: AZ BEH-001284)
Enumeration Date
2022-03-27
Last Update Date
2023-09-19
Business Address
JACY SHEA WALLACE
3910 S ALMA SCHOOL RD
CHANDLER, AZ 85248-4498
Phone number: 602-926-7200
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Mailing Address
JACY SHEA WALLACE
10251 N 35TH AVE
PHOENIX, AZ 85051-1305
Phone number: 602-926-7200
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