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Randall Wallace
NPI 1801735790 · on the registry since 2026
Practice
- Address
- 10781 E Cherry Bend Rd
Traverse City, MI 49684 - Phone
- (231) 492-8420
- Clinicians at this address
- 72
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Male
- Record last updated
- 2026-03-26
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 Michigan