Individual provider · Type 1 NPI

Devesdra Wallace

Behavior Technician · Charlotte, NC

NPI number 1013516053 Active

Practice location

1401 E 7th St
Charlotte, NC 28204-6300

Call (704) 780-4271 Map

Mailing address

11015 Education Way Apt 2406C
Charlotte, NC 28262-7133

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 1013516053

Devesdra Wallace's National Provider Identifier is 1013516053, issued on Oct 21, 2020. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 21, 2020.