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Search › California › Behavior Technician

Joshua Wallace

NPI 1124857404 · on the registry since 2024

Practice

Address
2453 Grand Canal Blvd Ste A
Stockton, CA 95207
Phone
(855) 223-7123
Clinicians at this address
349

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Also registered as
Peer Specialist
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-19

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 California