Cameron B. Wallace

Behavior Technician · Murray, KY

Individual Active NPI

NPI number 1154089076

Practice location

634 N 12TH St
Murray, KY 42071-1651
Phone
(270) 767-6415
Fax
(615) 815-1946

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NPI record

NPI
1154089076
Entity type
Individual (Type 1)
Enumeration date
December 8, 2021
Last updated
December 8, 2021
Certified
December 8, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone
(615) 361-4000
Fax
(615) 815-1946

About Cameron Wallace

Cameron B. Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 634 N 12TH St, Murray, KY 42071-1651. The NPI number 1154089076 was assigned on December 8, 2021 and the record was last updated on December 8, 2021.

Frequently asked questions

What is the NPI number of Cameron B. Wallace?

The NPI number is 1154089076.

What is the phone number of Cameron Wallace?

The phone number listed for the practice location is (270) 767-6415.

Where is Cameron Wallace located?

634 N 12TH St, Murray, KY 42071-1651.

What is the taxonomy code for Cameron Wallace?

The primary taxonomy code is 106S00000X – Behavior Technician.

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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