Theodore Wallace Jr.

Behavior Analyst · Reading, PA

Individual Active NPI

NPI number 1225431190

Practice location

66 Rockhaven Court
Reading, PA 19606

Phone: (215) 399-8996

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NPI record

NPI: 1225431190
Entity type: Individual (Type 1)
Enumeration date: October 6, 2014
Last updated: October 6, 2014
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Behavior Analyst Primary	`103K00000X`	BH0001046	PA

About Theodore Wallace

Theodore Wallace Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 66 Rockhaven Court, Reading, PA 19606. The NPI number 1225431190 was assigned on October 6, 2014 and the record was last updated on October 6, 2014.

Theodore Wallace lists a license in the registry: #BH0001046 (PA) 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 Theodore Wallace Jr.?

The NPI number is 1225431190.

What is the phone number of Theodore Wallace?

The phone number listed for the practice location is (215) 399-8996.

Where is Theodore Wallace located?

66 Rockhaven Court, Reading, PA 19606.

What is the taxonomy code for Theodore 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.