Brenda Lanette Wallace Valid NPI
Individual provider · Behavior Technician · Parker, CO
- NPI
- 1053111971
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- 171948282 (CO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-03-18
- Last updated
- 2025-03-18
Practice location
19585 Hess Rd Unit 106
Parker, CO 80134-3892
(720) 673-9132