Individual provider · Type 1 NPI

Mikayla Renee Wallace

Behavior Technician · Indianapolis, IN

NPI number 1679369862 Active

Practice location

9905 Fall Creek Rd
Indianapolis, IN 46256-4804

Call (317) 813-4690 Map

Mailing address

1815 D St
Anderson, IN 46016-2145

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 1679369862

Mikayla Renee Wallace's National Provider Identifier is 1679369862, issued on Apr 16, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 16, 2025.