Mackenzie Wallace

Behavior Analyst · Conroe, TX

Individual Active NPI

NPI number 1225594898

Practice location

1932 Briar Grove Dr
Conroe, TX 77301-2052
Phone
(562) 825-7025

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NPI record

NPI
1225594898
Entity type
Individual (Type 1)
Enumeration date
February 19, 2019
Last updated
June 14, 2023
Certified
June 14, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-20-41389 CA

About Mackenzie Wallace

Mackenzie Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1932 Briar Grove Dr, Conroe, TX 77301-2052. The NPI number 1225594898 was assigned on February 19, 2019 and the record was last updated on June 14, 2023.

Mackenzie Wallace lists a license in the registry: #1-20-41389 (CA) 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 Mackenzie Wallace?

The NPI number is 1225594898.

What is the phone number of Mackenzie Wallace?

The phone number listed for the practice location is (562) 825-7025.

Where is Mackenzie Wallace located?

1932 Briar Grove Dr, Conroe, TX 77301-2052.

What is the taxonomy code for Mackenzie 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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