SHANICE WALLACE

KISSIMMEE, FL
NPI1740999184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-11-15
Last Update Date2022-11-15
Business Address
SHANICE WALLACE Behavior Technician
3831 W VINE ST STE 60
KISSIMMEE, FL 34741-4650
Phone number: 866-311-4617
Mailing Address
SHANICE WALLACE Behavior Technician
1500 S DOUGLAS RD STE 230
CORAL GABLES, FL 33134-4108
Phone number: