Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE L WALLACE, I.S.
Active Sole ProprietorNICOLE L WALLACE, I.S. is a Assistant Behavior Analyst healthcare provider located in IDAHO FALLS, Idaho. NPI 1083446405 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1083446405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2024 (1.9812030178081 yrs)
- Last Updated
- Aug 14, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2185 KORO AVEIDAHO FALLS, ID, 834046226Browse ID providers · Browse ZIP 83404
- Phone
- 5202333382
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
Other Assistant Behavior Analyst Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| CASSIDY KING | — | 1073499588 |
| BRIANA IRENE JINSKY | — | 1215813720 |
| EMILY JOANNE IUND | — | 1184500522 |
| BREANN KAY OUCKAMA | — | 1790661130 |
| SHANIA MARIE KILLIAN SKANCH | — | 1861378218 |
| JORDAN LYN JONES | — | 1578449914 |
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.