Individual provider · Type 1 NPI

Kayla Jo Wallace

Behavior Technician · Auburn, MI

NPI number 1003457110 Active

Practice location

4600 Garfield Road
Auburn, MI 48611

Mailing address

3928 Elizabeth St
Rosebush, MI 48878-5002

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1003457110

Kayla Jo Wallace's National Provider Identifier is 1003457110, issued on Oct 1, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Auburn, MI. The record was last updated on May 27, 2025.