Individual provider · Type 1 NPI

Autumn Victoria Wallace

Behavior Technician · Gonzales, LA

NPI number 1770148587 Active

Practice location

1028 E Worthy St
Gonzales, LA 70737-4367

Call (504) 399-9851 Map

Fax (985) 261-0311

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

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 1770148587

Autumn Victoria Wallace's National Provider Identifier is 1770148587, issued on May 7, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Gonzales, LA. The record was last updated on May 7, 2019.