MADISEN WALLACE
NPI 1407774318
Behavior Technician in Kennett, MO
About Madisen Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISEN WALLACE (NPI 1407774318) is an individual behavior technician in Kennett, Missouri and active in the NPI registry since July 2026.
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 Madisen Wallace's NPI number?
The NPI number for Madisen Wallace is 1407774318. It was assigned to this individual provider in the NPPES registry on July 8, 2026.
Where is Madisen Wallace located?
Madisen Wallace practices at 1226 Independence Ave, Kennett, MO 63857. The listed phone number is (573) 559-2380.
What is Madisen 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 Madisen Wallace was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.