CAMILLE WALLACE

SAN LEANDRO, CA
NPI1336639012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CA  1-20-46247)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-05-17
Last Update Date2021-01-12
Business Address
CAMILLE WALLACE RBT
2104 MIRAMONTE AVE APT 9
SAN LEANDRO, CA 94578-1549
Phone number: 510-298-8463
Mailing Address
CAMILLE WALLACE RBT
2104 MIRAMONTE AVE APT 9
SAN LEANDRO, CA 94578-1549
Phone number: 510-298-8463