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MATTHEW WALLACE
NPI 1114746880
Day Training/Habilitation Specialist in Anchorage, AK

Active since October 09, 2024
1550 E 74TH AVE, ANCHORAGE, AK 99507(907) 929-5826 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Wallace NPPES

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

MATTHEW WALLACE (NPI 1114746880) is an individual day training/habilitation specialist in Anchorage, Alaska and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1114746880
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameMATTHEW WALLACE
Location Address1550 E 74TH AVEAnchorage, AK 99507-2614
Mailing Address1550 E 74th AveAnchorage, AK 99507-2614 · (907) 929-5826
Phone(907) 929-5826
Sole ProprietorNo
Enumeration DateOctober 9, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1114746880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
1550 E 74TH AVE, Anchorage, AK 99507
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KISHA DIANNE SMAW BACHELORS
Case Manager/Care Coordinator
1550 E 74TH AVE
ANCHORAGE, AK 99507
Anchorage Municipality (907) 929-5826
MARY GRACE SACULLES
Day Training/Habilitation Specialist
1550 E 74TH AVE
ANCHORAGE, AK 99507
Anchorage Municipality (907) 929-5826
DAKOTA NELSON
Day Training/Habilitation Specialist
1550 E 74TH AVE
ANCHORAGE, AK 99507
Anchorage Municipality (907) 929-5826
RYNN BURTON
Day Training/Habilitation Specialist
1550 E 74TH AVE
ANCHORAGE, AK 99507
Anchorage Municipality (907) 929-5826
TOMAS MOSQUETE
Day Training/Habilitation Specialist
1550 E 74TH AVE
ANCHORAGE, AK 99507
Anchorage Municipality (907) 929-5826
FERNANDO OLIVARES
Day Training/Habilitation Specialist
1550 E 74TH AVE
ANCHORAGE, AK 99507
Anchorage Municipality (907) 929-5826
JULIANA KHOTESOUVAN
Day Training/Habilitation Specialist
1550 E 74TH AVE
ANCHORAGE, AK 99507
Anchorage Municipality (907) 929-5826
MARILYN PETER
Day Training/Habilitation Specialist
1550 E 74TH AVE
ANCHORAGE, AK 99507
Anchorage Municipality (907) 929-5826

Frequently Asked Questions

What is Matthew Wallace's NPI number?

The NPI number assigned to this healthcare provider is 1114746880, enumerated as an "individual" on October 09, 2024.

Where is the provider located?

The provider is located at 1550 E 74TH AVE ANCHORAGE, AK 99507 and the phone number is (907) 929-5826.

What is the provider's specialty?

Day Training/Habilitation Specialist with taxonomy code 373H00000X.