NEELY S WALLACE
NPI 1861153082
Behavior Technician in Jacksonville, NC

Active since January 10, 2022
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546(910) 333-0814 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Neely S Wallace NPPES

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

NEELY S WALLACE (NPI 1861153082) is an individual behavior technician in Jacksonville, North Carolina and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1861153082
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameNEELY S WALLACE
Location Address200 DOCTORS DR STE JJacksonville, NC 28546-6308
Mailing Address200 Doctors Dr Ste JJacksonville, NC 28546-6308 · (910) 333-0814
Sole ProprietorNo
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
NPI 1861153082 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.

200 DOCTORS DR STE J, Jacksonville, NC 28546

Other Identifiers 1

Medicaid110026265EMA

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
200 DOCTORS DR STE J
JACKSONVILLE, NC 28546
Counselor (Mental Health)
200 DOCTORS DR STE J
JACKSONVILLE, NC 28546
Behavior Analyst
200 DOCTORS DR STE J
JACKSONVILLE, NC 28546
Behavior Technician
200 DOCTORS DR STE J
JACKSONVILLE, NC 28546
Behavior Technician
200 DOCTORS DR STE J
JACKSONVILLE, NC 28546
Behavior Technician
200 DOCTORS DR STE J
JACKSONVILLE, NC 28546
Behavior Technician
200 DOCTORS DR STE J
JACKSONVILLE, NC 28546
Behavior Technician
200 DOCTORS DR STE J
JACKSONVILLE, NC 28546

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 Neely Wallace's NPI number?

The NPI number for Neely Wallace is 1861153082. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Neely Wallace located?

Neely Wallace practices at 200 Doctors Dr Ste J, Jacksonville, NC 28546. The listed phone number is (910) 333-0814.

What is Neely 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 Neely Wallace was last updated on January 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.