MACIE LOUANN WALLACE Behavioral Analyst License verification

Business Entity

ACTIVE

License Type

Behavioral Analyst

Description

LICENSED BEHAVIORAL ANALYST

License Number

152000034

License Status

ACTIVE

Business

First Name

MACIE

Middle

LOUANN

Last Name

WALLACE

Business Name

MACIE LOUANN WALLACE

Original Issue Date

02/18/2025

Effective Date

11/01/2025

Expiration Date

10/31/2027

City

DANVILLE

State

Zip

61832

Ever Disciplined

LastModifiedDate

10/14/2025