MR. BENJAMIN Z WALLACE
NPI 1205691847
Behavior Technician in Fairview Heights, IL
About Mr. Benjamin Z Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BENJAMIN Z WALLACE (NPI 1205691847) is an individual behavior technician in Fairview Heights, Illinois, licensed in (RBT-20-148513) and active in the NPI registry since February 2024.
NPPES Registry Identity
Specialties & Licenses
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 Benjamin Wallace's NPI number?
The NPI number for Benjamin Wallace is 1205691847. It was assigned to this individual provider in the NPPES registry on February 13, 2024.
Where is Benjamin Wallace located?
Benjamin Wallace practices at 9106 Wedgewood Dr, Fairview Heights, IL 62208. The listed phone number is (903) 721-0145.
What is Benjamin 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 Benjamin Wallace was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.