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MR. JASON D WALLACE BCBA

Behavioral Analyst

Oldsmar, Florida

Provider NPI: 1679713754

Provider Information:
MR. JASON D WALLACE BCBA
Gender: M
Sole Proprietor


Practice Location:
104 SHOREVIEW LN  OLDSMAR, FL 34677 US
Tel: 813-546-9867  Fax: 813-818-0510

Business Mailing Address:
104 SHOREVIEW LN  OLDSMAR, FL 34677 US
Tel: 813-546-9867  Fax: 813-818-0510

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

FL1-04-1845









BEHAVIORAL ANALYST JOBS FL - Page 1



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