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Kiblena Wallace, BCBA

NPI 1760904817 · on the registry since 2017 · sole proprietor

Practice

Address
5131 S Florida Ave
Lakeland, FL 33813
Phone
(813) 586-4244
Organisation at this address
Prime Health Of Florida Pa
Saint Clares Medical Clinic
Body And Soul Massage And Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2020-07-20

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 Florida