Individual provider · Type 1 NPI

Talesa Wallace

Behavior Technician · West Park, FL

NPI number 1073499802 Active

Practice location

3832 SW 33rd Ct
West Park, FL 33023-5631

Call (954) 947-5061 Map

Mailing address

1250 Powder Springs St Apt 101
Marietta, GA 30064-5202

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-24-391137 (GA)

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 1073499802

Talesa Wallace's National Provider Identifier is 1073499802, issued on Aug 15, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in West Park, FL. The record was last updated on Aug 15, 2025.