LIBERTY MERRIT WALLACE
NPI 1821871716
Behavior Technician in Conway, AR

Active since August 15, 2023
2740 COLLEGE AVE, CONWAY, AR 72034(501) 329-5459 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Merrit Wallace NPPES

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

LIBERTY MERRIT WALLACE (NPI 1821871716) is an individual behavior technician in Conway, Arkansas and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1821871716
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameLIBERTY MERRIT WALLACE
Location Address2740 COLLEGE AVEConway, AR 72034-6141
Mailing Address2740 College AveConway, AR 72034-6141 · (501) 329-5459
Sole ProprietorNo
Enumeration DateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
NPI 1821871716 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.
2740 COLLEGE AVE, Conway, AR 72034

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.

Speech-Language Pathologist
2740 COLLEGE AVE
CONWAY, AR 72034
Licensed Practical Nurse
2740 COLLEGE AVE
CONWAY, AR 72034
Behavior Technician
2740 COLLEGE AVE
CONWAY, AR 72034
Speech-Language Pathologist
2740 COLLEGE AVE
CONWAY, AR 72034
Physical Therapist
2740 COLLEGE AVE
CONWAY, AR 72034
Speech-Language Pathologist
2740 COLLEGE AVE
CONWAY, AR 72034
Behavior Technician
2740 COLLEGE AVE
CONWAY, AR 72034
Behavior Technician
2740 COLLEGE AVE
CONWAY, AR 72034

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 Liberty Wallace's NPI number?

The NPI number for Liberty Wallace is 1821871716. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Liberty Wallace located?

Liberty Wallace practices at 2740 College Ave, Conway, AR 72034. The listed phone number is (501) 329-5459.

What is Liberty 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 Liberty Wallace was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.