Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BENJAMIN Z WALLACE
Active Sole ProprietorMR. BENJAMIN Z WALLACE is a Behavior Technician healthcare provider located in FAIRVIEW HEIGHTS, Illinois. NPI 1205691847 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · FAIRVIEW HEIGHTS, IL
Registration Details
- NPI Number
- 1205691847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2024 (2.5247604906149 yrs)
- Last Updated
- Feb 13, 2024
- License
-
RBT-20-148513
- Sole Proprietor
- Yes
Practice Information
- Address
-
9106 WEDGEWOOD DRFAIRVIEW HEIGHTS, IL, 622081047Browse IL providers · Browse ZIP 62208
- Phone
- 9037210145
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in FAIRVIEW HEIGHTS, IL
| Name | Credential | NPI |
|---|---|---|
| ASHLEY R CRILEY | RBT | 1033777925 |
| NAREESE CAPRI MILLER | — | 1295357945 |
| OLIVIA R REED | — | 1023635729 |
| MALIK YUSEF GIDDENS | RBT | 1174111884 |
| MS. MADISON N BROWN | — | 1346834793 |
| MARISSA WOMBLE | RBT | 1588259477 |
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.