David Wallick
Day Training/Habilitation Specialist in Fresno, CA. Individual provider (NPI-1).
NPI number1255984530
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1255984530
- Entity type
- Individual (NPI-1)
- Name
- David Wallick
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2019
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
2719 N Air Fresno DrFresno, CA 93727-1547
Phone 559-246-1215
Mailing address
1925 E Dakota AveFresno, CA 93726-4821
Other practice locations
1925 E Dakota Ave
Fresno, CA 93726-4821
Fresno, CA 93726-4821
Phone 559-600-9194
2688 E Omaha Ave
Fresno, CA 93720-4941
Fresno, CA 93720-4941
Phone 559-246-1215
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