ANTOINE WALLACE
NPI 1407367162
Behavior Technician in Columbia, MD

Active since October 20, 2017
6355 WOODSIDE CT, COLUMBIA, MD 21046(410) 381-7171 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antoine Wallace NPPES

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

ANTOINE WALLACE (NPI 1407367162) is an individual behavior technician in Columbia, Maryland and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1407367162
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameANTOINE WALLACE
Location Address6355 WOODSIDE CTColumbia, MD 21046-1071
Mailing Address6355 Woodside CtColumbia, MD 21046-1071
Sole ProprietorNo
Enumeration DateOctober 20, 2017
NPI 1407367162 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.
6355 WOODSIDE CT, Columbia, MD 21046

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.

Psychiatry & Neurology (Psychiatry)
6355 WOODSIDE CT
COLUMBIA, MD 21046
Case Management
6355 WOODSIDE CT
COLUMBIA, MD 21046
Psychologist (Rehabilitation)
6355 WOODSIDE CT
COLUMBIA, MD 21046
Behavior Analyst
6355 WOODSIDE CT
COLUMBIA, MD 21046
Behavior Technician
6355 WOODSIDE CT
COLUMBIA, MD 21046
Counselor (Professional)
6355 WOODSIDE CT
COLUMBIA, MD 21046
Behavior Analyst
6355 WOODSIDE CT
COLUMBIA, MD 21046
Community/Behavioral Health
6355 WOODSIDE CT
COLUMBIA, MD 21046

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 Antoine Wallace's NPI number?

The NPI number for Antoine Wallace is 1407367162. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Antoine Wallace located?

Antoine Wallace practices at 6355 Woodside Ct, Columbia, MD 21046. The listed phone number is (410) 381-7171.

What is Antoine 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 Antoine Wallace was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.