Individual provider · Type 1 NPI

Angenett Wallace, RBT

Behavior Technician · Richton Park, IL

NPI number 1881556561 Active

Practice location

4559 Heartland Dr
Richton Park, IL 60471-2413

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 1881556561

Angenett Wallace, RBT's National Provider Identifier is 1881556561, issued on Dec 1, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Richton Park, IL. The record was last updated on Dec 1, 2025.