All Medicaid billing entities listing WALLACE, RANDALL (DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $2.47M |
| Connecticut | 1 | $0.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAMILY BASED THERAPY ASSOCIATES | COON RAPIDS, MN | Mental Health Counselor | $2.47M |
| 2 | INTEGRATIVE PSYCHOLOGICAL CENTER LLC | HARTFORD, CT | Clinical Psychologist | $0.00 |