Individual provider · Type 1 NPI

Nicole L. Wallace, I.S.

Assistant Behavior Analyst · Idaho Falls, ID

NPI number 1083446405 Active

Practice location

2185 Koro Ave
Idaho Falls, ID 83404-6226

Call (520) 233-3382 Map

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XNone listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1083446405

Nicole L. Wallace, I.S.'s National Provider Identifier is 1083446405, issued on Aug 14, 2024. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 14, 2024.