Individual provider · Type 1 NPI

Rachael Fuller Wallace

Behavior Technician · Newnan, GA

NPI number 1013552017 Active

Practice location

112 Jefferson Pkwy
Newnan, GA 30263-5885

Call (877) 288-4760 Map

Mailing address

140 N Davis Rd Apt 323
Lagrange, GA 30241-1608

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 1013552017

Rachael Fuller Wallace's National Provider Identifier is 1013552017, issued on Nov 13, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Newnan, GA. The record was last updated on Nov 13, 2019.