Individual provider · Type 1 NPI

Kathleen Nicole Wallace, B.S.E.

Day Training/Habilitation Specialist · Arkadelphia, AR

NPI number 1881801090 Active

Practice location

2410 Pine St
Arkadelphia, AR 71923-4335

Mailing address

16 Western Hills Dr
Arkadelphia, AR 71923-9137

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1881801090

Kathleen Nicole Wallace, B.S.E.'s National Provider Identifier is 1881801090, issued on May 17, 2007. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Arkadelphia, AR. The record was last updated on Jul 8, 2007.