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

MACIE WALLACE, BCBA

Active

MACIE WALLACE, BCBA is a Behavior Analyst healthcare provider located in MISHAWAKA, Indiana. NPI 1851987523 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · MISHAWAKA, IN

Registration Details

NPI Number
1851987523
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2020 (5.6427146431868 yrs)
Last Updated
Dec 17, 2020

Practice Information

Address
525 PARK PLACE CIR
MISHAWAKA, IN, 465453511
Browse IN providers · Browse ZIP 46545
Phone
5743874313
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in MISHAWAKA, IN

Name Credential NPI
EMILIA KNIZNER BCBA 1437574431
JORDAN KUJAWSKI BCBA 1619371879
COLETTE GILLIS 1700277613
KATIE MEYER BCBA 1982071999
NATALIE LOVEJOY BCBA 1033586029
MISS JILLIAN IRENE DUNN 1205376217
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.