KEIYONNY WALLACE
NPI 1376179945
Behavior Technician in Plymouth, MI
About Keiyonny Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIYONNY WALLACE (NPI 1376179945) is an individual behavior technician in Plymouth, Michigan and active in the NPI registry since March 2020.
NPPES Registry Identity
Specialties & Licenses
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.
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 Keiyonny Wallace's NPI number?
The NPI number for Keiyonny Wallace is 1376179945. It was assigned to this individual provider in the NPPES registry on March 16, 2020.
Where is Keiyonny Wallace located?
Keiyonny Wallace practices at 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170. The listed phone number is (313) 278-4601.
What is Keiyonny 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 Keiyonny Wallace was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.