AMY WALLACE

Behavior Technician

Active Individual
NPI: 1184597999

Practice Address

4530 WALNEY RD STE 105
Chantilly, VA 20151

Phone: (619) 818-1807

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1184597999 is the National Provider Identifier for AMY WALLACE, a Behavior Technician provider located in Chantilly, VA. This NPI was enumerated on September 26, 2025.
AMY WALLACE practices at 4530 WALNEY RD STE 105, Chantilly, VA 20151.

Quick Facts

NPI
1184597999
Type
Individual
Enumerated
Sep 26, 2025
Last Updated
Sep 26, 2025

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