Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZAKARY RUSSELL WALLACE, MS, BCBA, LBA
ActiveZAKARY RUSSELL WALLACE, MS, BCBA, LBA is a Behavior Analyst healthcare provider located in BOWLING GREEN, Kentucky. NPI 1497319529 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · BOWLING GREEN, KY
Registration Details
- NPI Number
- 1497319529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2019 (7.2675075014172 yrs)
- Last Updated
- Nov 1, 2021
- Licenses
-
RBT-19-84856274223 (KY)
Practice Information
- Address
-
2427 RUSSELLVILLE RDBOWLING GREEN, KY, 421013980Browse KY providers · Browse ZIP 42101
- Phone
- 2709367472
- Fax
- 3175208200
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in BOWLING GREEN, KY
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA NOEL | — | 1497056451 |
| DR. GREGORY RICHMOND MANCIL | BCBA-D, LBA | 1255612289 |
| BAILEY ANNE PAYNE | MS, BCBA | 1982986725 |
| DEBRA PICKERING | MS BCBA LBA | 1407286669 |
| JUSTIN MCDANIEL | — | 1730594631 |
| MR. RYAN BURKE | TLBA | 1578979019 |
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.