Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RACHAEL FULLER WALLACE
ActiveRACHAEL FULLER WALLACE is a Behavior Technician healthcare provider located in NEWNAN, Georgia. NPI 1013552017 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · NEWNAN, GA
Registration Details
- NPI Number
- 1013552017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2019 (6.7421784935477 yrs)
- Last Updated
- Nov 13, 2019
Practice Information
- Address
-
112 JEFFERSON PKWYNEWNAN, GA, 302635885Browse GA providers · Browse ZIP 30263
- Phone
- 8772884760
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in NEWNAN, GA
| Name | Credential | NPI |
|---|---|---|
| HEATHER GLADNEY | — | 1669960837 |
| KAYLEN HENDRIX | — | 1619435419 |
| CARLIE CATON | — | 1265993984 |
| OWSLEY TANNER | — | 1861054611 |
| DESTIN MIZELLE | — | 1619539277 |
| SHANIA MONIQUE DEWBERRY | — | 1225684517 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.