Brooke Wallace, M.A., BCBA

Behavior Analyst · Little Elm, TX

Individual Active NPI

NPI number 1043743495

Practice location

1513 Canary Dr
Little Elm, TX 75068-8460
Phone
(469) 569-4082

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NPI record

NPI
1043743495
Entity type
Individual (Type 1)
Enumeration date
April 4, 2017
Last updated
April 4, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 11-3131-09 TX

About Brooke Wallace

Brooke Wallace, M.A., BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1513 Canary Dr, Little Elm, TX 75068-8460. The NPI number 1043743495 was assigned on April 4, 2017 and the record was last updated on April 4, 2017.

Brooke Wallace lists a license in the registry: #11-3131-09 (TX) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brooke Wallace, M.A., BCBA?

The NPI number is 1043743495.

What is the phone number of Brooke Wallace?

The phone number listed for the practice location is (469) 569-4082.

Where is Brooke Wallace located?

1513 Canary Dr, Little Elm, TX 75068-8460.

What is the taxonomy code for Brooke Wallace?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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