STEPHEN WALLACE

LEAVENWORTH, KS
NPI1427668102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: MO  RBT-20-130807)
Enumeration Date2020-08-06
Last Update Date2020-08-17
Business Address
STEPHEN WALLACE RBT
403 N 4TH ST
LEAVENWORTH, KS 66048-1966
Phone number: 913-250-5509
Mailing Address
STEPHEN WALLACE RBT
403 N 4TH ST
LEAVENWORTH, KS 66048-1966
Phone number:
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