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KIBLENA WALLACE BCBA
NPI 1760904817
Behavior Analyst in Lakeland, FL

Active since July 11, 2017
5131 S FLORIDA AVE, LAKELAND, FL 33813(813) 586-4244 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2020, May 11, 2020, May 10, 2020 and 1 more (4 updates tracked since 2017).

About Kiblena Wallace Bcba NPPES

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

KIBLENA WALLACE BCBA (NPI 1760904817) is an individual behavior analyst provider in Lakeland, Florida and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1760904817
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKIBLENA WALLACECredential: BCBA
Location Address5131 S FLORIDA AVELakeland, FL 33813-2514
Mailing Address711 Parsons Pointe StSeffner, FL 33584-7804
Phone(813) 586-4244
Sole ProprietorYes
Enumeration DateJuly 11, 2017
Last NPPES UpdateJuly 20, 20204 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1760904817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
5131 S FLORIDA AVE, Lakeland, FL 33813
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BODY AND SOUL MASSAGE AND WELLNESS CENTER
Health Maintenance Organization
5131 S FLORIDA AVE, SUITE 7&8
LAKELAND, FL 33813
Polk County (863) 248-4161
BETHANY WIENTGE
Behavior Technician
5131 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (813) 763-5469
SAINT CLARES MEDICAL CLINIC
Preventive Medicine (Occupational Medicine)
5131 S FLORIDA AVE, SUITE 1
LAKELAND, FL 33813
Polk County (863) 937-8991

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 Kiblena Wallace's NPI number?

The NPI number for Kiblena Wallace is 1760904817. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Kiblena Wallace located?

Kiblena Wallace practices at 5131 S Florida Ave, Lakeland, FL 33813. The listed phone number is (813) 586-4244.

What is Kiblena Wallace's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Kiblena Wallace accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kiblena Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kiblena Wallace was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.