TYLER WALLACE
NPI 1639747579
Behavior Technician in Port Saint Lucie, FL

Active since June 16, 2021
247 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984(772) 207-1356(772) 742-2924 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Wallace NPPES

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

TYLER WALLACE (NPI 1639747579) is an individual behavior technician in Port Saint Lucie, Florida and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1639747579
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameTYLER WALLACE
Location Address247 SW PORT ST LUCIE BLVDPort Saint Lucie, FL 34984-5015
Mailing Address300 International Pkwy Ste 200Lake Mary, FL 32746-3625 · (866) 610-0580
Fax(772) 742-2924
Sole ProprietorNo
Enumeration DateJune 16, 2021
NPPES CertifiedJune 16, 2021
NPI 1639747579 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.
247 SW PORT ST LUCIE BLVD, Port Saint Lucie, FL 34984

Other Names 1

Former Name (1)Tyler D Bell

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
247 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984
Behavior Technician
247 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984
Behavior Technician
247 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984
Behavior Analyst
247 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984
Behavior Technician
247 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984
Behavior Technician
247 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984
Behavior Technician
247 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984
Behavior Technician
247 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984

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 Tyler Wallace's NPI number?

The NPI number for Tyler Wallace is 1639747579. It was assigned to this individual provider in the NPPES registry on June 16, 2021. The provider is also known as Tyler D Bell.

Where is Tyler Wallace located?

Tyler Wallace practices at 247 SW Port St Lucie Blvd, Port Saint Lucie, FL 34984. The listed phone number is (772) 207-1356.

What is Tyler 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 Tyler Wallace was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.