Robert John Wallander JR. BCBA-D

NPI 1053595264 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1053595264
Gender Male
Enumeration Date 12/24/2007
Last Updated 06/08/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
8706 BLOSSOM LN
LOUISVILLE KY, 40242-3104, US
Phone (502) 565-8189
Fax
Business Location
8706 BLOSSOM LN
LOUISVILLE KY, 40242-3104, US
Phone (502) 565-8189
Fax
Toxanomy
Taxonomy Code 103K00000X
License State Kentucky
License Number KY-0041
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According to our database, Dr. Robert John Wallander JR. BCBA-D NPI is 1053595264, taxonomy code is 103K00000X and license number is KY-0041, license state is located at Kentucky. Robert John Wallander JR. BCBA-D physically located at 8706 Blossom Ln, Louisville KY, 40242-3104. NPI Number Robert John Wallander JR. BCBA-D has the Individual type.

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1053595264 NPI number is provided on an as is basis without warranty of any kind. 1053595264 is maintained by the National Plan & Provider Enumeration System. The contents of Robert John Wallander JR. BCBA-D are for informational purposes only.