Individual provider · Type 1 NPI

Lillian Rose Wallace

Behavior Technician · West Fargo, ND

NPI number 1184529570 Active

Practice location

647 13th Ave E
West Fargo, ND 58078-3328

Call (701) 277-8844 Map

Mailing address

1815 University Dr N, North PO #287 (emmett And Donovan)
Fargo, ND 58102

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 1184529570

Lillian Rose Wallace's National Provider Identifier is 1184529570, issued on Oct 14, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in West Fargo, ND. The record was last updated on Oct 14, 2026.