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Johnny Wallace
NPI 1861073413 · on the registry since 2021 · sole proprietor
Practice
- Address
- 139 Hugo St Apt 3
San Francisco, CA 94122 - Phone
- (310) 691-3644
- Organisation at this address
- Adapt: A Behavioral Collective, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 33
Additional practice sites
- 5940 El Escorpion Rd, Woodland Hills, CA
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-15
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