Individual provider · Type 1 NPI

Johnny Lee Wallace Jr.

Day Training/Habilitation Specialist · Bakersfield, CA

NPI number 1316800345 Active

Practice location

3401 Wible Rd Apt 91
Bakersfield, CA 93309-6536

Call (760) 379-3412 Map

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000

Specialties and licenses

Taxonomy	Code	License
Day Training/Habilitation Specialist Primary	373H00000X	None listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1316800345

Johnny Lee Wallace Jr.'s National Provider Identifier is 1316800345, issued on Dec 5, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Bakersfield, CA. The record was last updated on Dec 8, 2025.