ELLIE KAY WALLACE
NPI 1578301453
Behavior Technician in Richfield, MN

Active since July 16, 2024
6320 PENN AVE S, RICHFIELD, MN 55423(612) 677-2350 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ellie Kay Wallace NPPES

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

ELLIE KAY WALLACE (NPI 1578301453) is an individual behavior technician in Richfield, Minnesota and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1578301453
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameELLIE KAY WALLACE
Location Address6320 PENN AVE SRichfield, MN 55423-1139
Mailing Address6320 Penn Ave SRichfield, MN 55423-1139
Sole ProprietorNo
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
NPI 1578301453 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.
6320 PENN AVE S, Richfield, MN 55423

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.

Behavior Technician
6320 PENN AVE S
RICHFIELD, MN 55423
Behavior Technician
6320 PENN AVE S
RICHFIELD, MN 55423
Behavior Technician
6320 PENN AVE S
RICHFIELD, MN 55423
Behavior Technician
6320 PENN AVE S
RICHFIELD, MN 55423
Behavior Technician
6320 PENN AVE S
RICHFIELD, MN 55423
Behavior Technician
6320 PENN AVE S
RICHFIELD, MN 55423
Behavior Technician
6320 PENN AVE S
RICHFIELD, MN 55423
Behavior Technician
6320 PENN AVE S
RICHFIELD, MN 55423

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 Ellie Wallace's NPI number?

The NPI number for Ellie Wallace is 1578301453. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Ellie Wallace located?

Ellie Wallace practices at 6320 Penn Ave S, Richfield, MN 55423. The listed phone number is (612) 677-2350.

What is Ellie 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 Ellie Wallace was last updated on July 16, 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.