TREVOR WALLACE
NPI 1104642099
Behavior Technician in Henderson, NV

Active since November 25, 2024
1005 WIGWAM PKWY APT 3204, HENDERSON, NV 89074(321) 604-2742 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trevor Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREVOR WALLACE (NPI 1104642099) is an individual behavior technician in Henderson, Nevada and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1104642099
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameTREVOR WALLACE
Location Address1005 WIGWAM PKWY APT 3204Henderson, NV 89074-8250
Mailing Address1005 Wigwam Pkwy Apt 3204Henderson, NV 89074-8250 · (321) 604-2742
Sole ProprietorNo
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1104642099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1005 WIGWAM PKWY APT 3204, Henderson, NV 89074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Wallace's NPI number?

The NPI number for Trevor Wallace is 1104642099. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Trevor Wallace located?

Trevor Wallace practices at 1005 Wigwam Pkwy Apt 3204, Henderson, NV 89074. The listed phone number is (321) 604-2742.

What is Trevor Wallace's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Trevor Wallace was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.