Search › Illinois › Behavior Technician
Audrey Wallace
NPI 1285460097 · on the registry since 2024
Practice
- Address
- 26034 Cemetery Rd
Jerseyville, IL 62052 - Phone
- (618) 535-2112
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-09
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 Illinois