JOSHUA WALLACE

Behavior Technician

Active Individual
NPI: 1124857404

Practice Address

2453 GRAND CANAL BLVD STE A
Stockton, CA 95207

Phone: (855) 223-7123

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -
Peer Specialist 175T00000X No MPSS-QTPCEG (CA)

Frequently Asked Questions

NPI 1124857404 is the National Provider Identifier for JOSHUA WALLACE, a Behavior Technician provider located in Stockton, CA. This NPI was enumerated on July 26, 2024.
JOSHUA WALLACE practices at 2453 GRAND CANAL BLVD STE A, Stockton, CA 95207.

Quick Facts

NPI
1124857404
Type
Individual
Enumerated
Jul 26, 2024
Last Updated
Feb 19, 2025

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