NPI Lookup
NPPES Search
Providers by State
Blog
Home
1972289825
TYSEAN DEMARCUS WALLACE
MINNETONKA, MN
NPI
1972289825
Copy
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
TYSEAN DEMARCUS WALLACE
5501 FELTL ROAD MINNETONKA
MINNETONKA, MN 55343
Phone number: 952-746-0222
Copy
Mailing Address
TYSEAN DEMARCUS WALLACE
14301 EWING AVENUE SOUTH, BURNSVILLE, MN 55306
BURNSVILLE, MN 55306
Phone number: 952-764-5350
Copy
Similar providers in Minnetonka, MN
KATY JO ARNETT
PAUL BOTH
ADRIENNE TATE MEIER
BROOKE IRENE HERMAN
SYDNEY PALMER BJOUFALD
DAWON ENOCH LEE
EVAN MICHAEL KELLAR
WHITNEY LEE SWENSON
ELIZABETH IZAGUIRRE
LILLIAN SUSAN BRECKNER