Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDYNBRIELLE ELAINE WALLACE, BCBA
Active Sole ProprietorBehavior Analyst · RUNNEMEDE, NJ
Registration Details
- NPI Number
- 1215809330
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2025 (0.61677071516635 yrs)
- Last Updated
- Sep 18, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 HARDING AVERUNNEMEDE, NJ, 080781717Browse NJ providers · Browse ZIP 08078
- Phone
- 6099971778
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in RUNNEMEDE, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES CHRISTOPHER WILLS | M.A., M.S. ED., BCBA | 1699909929 |
| NICHOLAS MA | — | 1366309072 |
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.