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Trevor Wallace
NPI 1104642099 · on the registry since 2024
Practice
- Address
- 1005 Wigwam Pkwy Apt 3204
Henderson, NV 89074 - Phone
- (321) 604-2742
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada