SERGIO WALLACE
NPI 1720525728
Behavior Technician in Tampa, FL

Active since January 27, 2017
8201 CANTERBURY LAKE BLVD, TAMPA, FL 33619(727) 657-8299 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sergio Wallace NPPES

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

SERGIO WALLACE (NPI 1720525728) is an individual behavior technician in Tampa, Florida and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1720525728
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameSERGIO WALLACE
Location Address8201 CANTERBURY LAKE BLVDTampa, FL 33619-6671
Mailing Address8201 Canterbury Lake BlvdTampa, FL 33619-6671
Sole ProprietorYes
Enumeration DateJanuary 27, 2017
NPI 1720525728 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.

8201 CANTERBURY LAKE BLVD, Tampa, FL 33619

Other Identifiers 1

Medicaid656425FL

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 Sergio Wallace's NPI number?

The NPI number for Sergio Wallace is 1720525728. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Sergio Wallace located?

Sergio Wallace practices at 8201 Canterbury Lake Blvd, Tampa, FL 33619. The listed phone number is (727) 657-8299.

What is Sergio 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 Sergio Wallace was last updated on January 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.