AUTUMN VICTORIA WALLACE
NPI 1770148587
Behavior Technician in Gonzales, LA
About Autumn Victoria Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN VICTORIA WALLACE (NPI 1770148587) is an individual behavior technician in Gonzales, Louisiana and active in the NPI registry since May 2019.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Autumn Wallace's NPI number?
The NPI number for Autumn Wallace is 1770148587. It was assigned to this individual provider in the NPPES registry on May 7, 2019. The provider is also known as Autumn Moore.
Where is Autumn Wallace located?
Autumn Wallace practices at 1028 E Worthy St, Gonzales, LA 70737. The listed phone number is (504) 399-9851.
What is Autumn 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 Autumn Wallace was last updated on May 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.