TIM WALLACE

ALAMEDA, CA
NPI1790322840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-12-09
Last Update Date2019-12-09
Business Address
TIM WALLACE
1025 ATLANTIC AVE STE 101
ALAMEDA, CA 94501-1188
Phone number: 510-268-8120
Mailing Address
TIM WALLACE
850 RUSSELL AVE APT D1
SANTA ROSA, CA 95403-2106
Phone number: 707-843-0735