Individual provider · Type 1 NPI

Courtney Wallace

Behavior Technician · Edmond, OK

NPI number 1457201451 Active

Practice location

501 S Coltrane Rd
Edmond, OK 73034-6714

Call (580) 318-9415 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-0086-1107719 (OK)

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 1457201451

Courtney Wallace's National Provider Identifier is 1457201451, issued on Jan 29, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Edmond, OK. The record was last updated on Jan 29, 2026.