AUTUMN VICTORIA WALLACE
NPI 1770148587
Behavior Technician in Gonzales, LA

Active since May 07, 2019
1028 E WORTHY ST, GONZALES, LA 70737(504) 399-9851(985) 261-0311 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1770148587
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameAUTUMN VICTORIA WALLACE
Location Address1028 E WORTHY STGonzales, LA 70737-4367
Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · (818) 345-2345
Fax(985) 261-0311
Sole ProprietorNo
Enumeration DateMay 7, 2019
NPI 1770148587 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.
1028 E WORTHY ST, Gonzales, LA 70737

Other Names 1

Other Name (5)Autumn Moore

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
1028 E WORTHY ST
GONZALES, LA 70737
Behavior Technician
1028 E WORTHY ST
GONZALES, LA 70737
Behavior Technician
1028 E WORTHY ST
GONZALES, LA 70737
Behavior Technician
1028 E WORTHY ST
GONZALES, LA 70737
Behavior Technician
1028 E WORTHY ST
GONZALES, LA 70737
Behavior Technician
1028 E WORTHY ST
GONZALES, LA 70737
Behavior Technician
1028 E WORTHY ST
GONZALES, LA 70737
Behavior Technician
1028 E WORTHY ST
GONZALES, LA 70737

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.