Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN VICTORIA WALLACE
ActiveAUTUMN VICTORIA WALLACE is a Behavior Technician healthcare provider located in GONZALES, Louisiana. NPI 1770148587 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · GONZALES, LA
Registration Details
- NPI Number
- 1770148587
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2019 (7.2576066872647 yrs)
- Last Updated
- May 7, 2019
Practice Information
- Address
-
1028 E WORTHY STGONZALES, LA, 707374367Browse LA providers · Browse ZIP 70737
- Phone
- 5043999851
- Fax
- 9852610311
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in GONZALES, LA
| Name | Credential | NPI |
|---|---|---|
| BRITTANY B ALDRIDGE | — | 1093168460 |
| TYESHA MICHELLE LOVE | — | 1447724265 |
| HARLEY AVIS CANTILLO | — | 1801355573 |
| TRENECIA JORDAN | — | 1376107946 |
| ASHLEY WAGUESPACK | — | 1780241471 |
| OLEVIA TENNILLE GUIDRY | — | 1356995591 |
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.