Individual provider · Type 1 NPI

Jordan Cornell Wallace

Behavior Technician · Cathedral City, CA

NPI number 1689449787 Active

Practice location

69155 Dinah Shore Dr
Cathedral City, CA 92234-4792

Call (760) 969-9383 Map

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 1689449787

Jordan Cornell Wallace's National Provider Identifier is 1689449787, issued on Nov 17, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Cathedral City, CA. The record was last updated on Nov 17, 2023.