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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADAM LEO WALLACE

Active

ADAM LEO WALLACE is a Behavior Technician healthcare provider located in LAS CRUCES, New Mexico. NPI 1790477479 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LAS CRUCES, NM

Registration Details

NPI Number
1790477479
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2023 (3.21900437905 yrs)
Last Updated
May 8, 2024

Practice Information

Address
1250 HILLRISE CIR
LAS CRUCES, NM, 880114741
Browse NM providers · Browse ZIP 88011
Phone
5752881881
Fax
5752881889
Primary Specialty
Behavior Technician
106S00000X
Additional Specialty
Behavior Technician

Other Behavior Technician Providers in LAS CRUCES, NM

Name Credential NPI
PAMELA BARRERA 1710369806
KAYLA TEAGUE 1467834630
ASPEN PLEASANT 1649635350
JAMEY GALLEGOS BS, RBT 1104289511
JUAN SORIA RBT 1659827038
CHRISTINA GONZALES RBT 1821548553
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.