DESTINY WALLACE

EVANSVILLE, IN
NPI1659254746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-25-453255)
Enumeration Date2025-07-28
Last Update Date2025-07-28
Business Address
DESTINY WALLACE
7313 EAGLE CREST BLVD
EVANSVILLE, IN 47715-8157
Phone number: 812-901-1173
Mailing Address
DESTINY WALLACE
PO BOX 718713
CHICAGO, IL 60677-8713
Phone number: