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1730328840
SHANNON D WALLACE
SAN DIEGO, CA
NPI
1730328840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-08-4562)
Enumeration Date
2009-02-12
Last Update Date
2013-03-08
Business Address
-- SHANNON D WALLACE BCBA
3954 MURPHY CANYON RD SUITE D105
SAN DIEGO, CA 92123-4418
Phone number: 858-569-0056
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Mailing Address
-- SHANNON D WALLACE BCBA
3954 MURPHY CANYON RD SUITE D105
SAN DIEGO, CA 92123-4418
Phone number: 858-569-0056
Copy
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