KIYOSIA WALLACE

VIRGINIA BEACH, VA
NPI1811694870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-02-10
Last Update Date2023-05-03
Business Address
KIYOSIA WALLACE
780 LYNNHAVEN PKWY STE 400
VIRGINIA BEACH, VA 23452-7332
Phone number: 877-418-2978
Mailing Address
KIYOSIA WALLACE
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 877-418-2978