NICOLE WALLACE
NPI 1952043754
Behavior Technician in Jackson, MI

Active since April 12, 2022
1211 W NORTH ST, JACKSON, MI 49202(517) 513-3297 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2023, Apr 12, 2022 (2 updates tracked since 2022).

About Nicole Wallace NPPES

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

NICOLE WALLACE (NPI 1952043754) is an individual behavior technician in Jackson, Michigan and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1952043754
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameNICOLE WALLACE
Location Address1211 W NORTH STJackson, MI 49202-3132
Mailing Address2400 Science PkwyOkemos, MI 48864-2560 · (517) 374-8066
Sole ProprietorNo
Enumeration DateApril 12, 2022
Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
NPI 1952043754 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.
1211 W NORTH ST, Jackson, MI 49202

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
1211 W NORTH ST
JACKSON, MI 49202
Behavior Technician
1211 W NORTH ST
JACKSON, MI 49202
Behavior Technician
1211 W NORTH ST
JACKSON, MI 49202
Behavior Technician
1211 W NORTH ST
JACKSON, MI 49202
Behavior Technician
1211 W NORTH ST
JACKSON, MI 49202
Behavior Technician
1211 W NORTH ST
JACKSON, MI 49202
Behavior Technician
1211 W NORTH ST
JACKSON, MI 49202
Behavior Technician
1211 W NORTH ST
JACKSON, MI 49202

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 Nicole Wallace's NPI number?

The NPI number for Nicole Wallace is 1952043754. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Nicole Wallace located?

Nicole Wallace practices at 1211 W North St, Jackson, MI 49202. The listed phone number is (517) 513-3297.

What is Nicole 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 Nicole Wallace was last updated on January 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.