AUDREY LUCILLE WALLACE
NPI 1285460097
Behavior Technician in Jerseyville, IL
About Audrey Lucille Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY LUCILLE WALLACE (NPI 1285460097) is an individual behavior technician in Jerseyville, Illinois and active in the NPI registry since September 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 Audrey Wallace's NPI number?
The NPI number for Audrey Wallace is 1285460097. It was assigned to this individual provider in the NPPES registry on September 9, 2024.
Where is Audrey Wallace located?
Audrey Wallace practices at 26034 Cemetery Rd, Jerseyville, IL 62052. The listed phone number is (618) 535-2112.
What is Audrey 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 Audrey Wallace was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.