Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. YIDEIRA WALLACE, RBT
Active Sole ProprietorMRS. YIDEIRA WALLACE, RBT is a Behavior Technician healthcare provider located in NORTH PORT, Florida. NPI 1073264289 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · NORTH PORT, FL
Registration Details
- NPI Number
- 1073264289
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2022 (4.4084176385889 yrs)
- Last Updated
- Jan 10, 2022
- License
-
RBT-21-195063 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4584 FLINT DRNORTH PORT, FL, 342866604Browse FL providers · Browse ZIP 34286
- Phone
- 7865703643
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in NORTH PORT, FL
| Name | Credential | NPI |
|---|---|---|
| AMANDA E FRUSCO | — | 1255871695 |
| AVA LUKACZ | COTA | 1811484991 |
| MAKAYLA FRANCIS | — | 1033608039 |
| KOLBY RIMER | — | 1477043834 |
| STACY MCCULLOUGH | — | 1144713298 |
| CHRISTINA M CLAYTON | — | 1235625310 |
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.