Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIBLENA WALLACE, BCBA
Active Sole ProprietorKIBLENA WALLACE, BCBA is a Behavior Analyst healthcare provider located in LAKELAND, Florida. NPI 1760904817 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · LAKELAND, FL
Registration Details
- NPI Number
- 1760904817
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2017 (9.0657204403027 yrs)
- Last Updated
- Jul 20, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
5131 S FLORIDA AVELAKELAND, FL, 338132514Browse FL providers · Browse ZIP 33813
- Phone
- 8135864244
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| STACEY D SIMONDS | BCBA | 1467605949 |
| STACEY OSMON | BCBA | 1003048539 |
| MARIBEL CONN | — | 1225260359 |
| KEVIN SANGER | LSP, BCBA | 1154553287 |
| MRS. ANDREA L HOLLADAY | M.A., BCBA | 1598097040 |
| SHANITA ALLEN | MS, BCBA | 1255645917 |
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.