JASON D WALLACE

OLDSMAR, FL
NPI1679713754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: FL  1-04-1845)
Enumeration Date2009-03-02
Last Update Date2009-03-02
Business Address
Mr. JASON D WALLACE BCBA
104 SHOREVIEW LN
OLDSMAR, FL 34677-4106
Phone number: 813-546-9867
Mailing Address
Mr. JASON D WALLACE BCBA
104 SHOREVIEW LN
OLDSMAR, FL 34677-4106
Phone number: 813-546-9867
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