Abagale H. Wallace

Behavior Technician · Zeeland, MI

Individual Active NPI

NPI number 1225712110

Practice location

201 Royal Park Dr
Zeeland, MI 49464-2040
Phone
(616) 970-4172

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NPI record

NPI
1225712110
Entity type
Individual (Type 1)
Enumeration date
June 12, 2023
Last updated
June 12, 2023
Certified
June 12, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Abagale Wallace

Abagale H. Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 201 Royal Park Dr, Zeeland, MI 49464-2040. The NPI number 1225712110 was assigned on June 12, 2023 and the record was last updated on June 12, 2023.

Frequently asked questions

What is the NPI number of Abagale H. Wallace?

The NPI number is 1225712110.

What is the phone number of Abagale Wallace?

The phone number listed for the practice location is (616) 970-4172.

Where is Abagale Wallace located?

201 Royal Park Dr, Zeeland, MI 49464-2040.

What is the taxonomy code for Abagale 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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