JOHNTAVIA WALLACE
NPI 1821726704
Behavior Technician in Brandon, FL
About Johntavia Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNTAVIA WALLACE (NPI 1821726704) is an individual behavior technician in Brandon, Florida and active in the NPI registry since August 2022.
NPPES Registry Identity
Specialties & Licenses
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 Johntavia Wallace's NPI number?
The NPI number for Johntavia Wallace is 1821726704. It was assigned to this individual provider in the NPPES registry on August 10, 2022.
Where is Johntavia Wallace located?
Johntavia Wallace practices at 220 Grand Regency Blvd, Brandon, FL 33510. The listed phone number is (813) 709-7989.
What is Johntavia 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 Johntavia Wallace was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.