NPI 1003454380
Tayelor Shawn Wallin
Practice location
- Address
- 12141 Brookhurst St STE 201, Garden Grove, CA 92840-2865
- Phone
- (657) 261-7140
- Fax
- (714) 922-1032
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1003454380
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Dec 2019
- Record last updated
- 18 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.