JESSICA SUZANNE WALLACE

FARMINGTON HILLS, MI
NPI1871943001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies103K00000X Behavior Analyst
103T00000X Psychologist
Enumeration Date2016-06-19
Last Update Date2019-11-20
Business Address
JESSICA SUZANNE WALLACE B.A.
27777 INKSTER RD
FARMINGTON HILLS, MI 48334
Phone number: 248-436-4400
Mailing Address
JESSICA SUZANNE WALLACE B.A.
27777 INKSTER RD
FARMINGTON HILLS, MI 48334-5326
Phone number: 248-436-4400