Erica Lynn Wallace

Behavior Analyst · Manning, SC

Individual Active NPI

NPI number 1639802267

Practice location

5286 Summerton Hwy
Manning, SC 29102-8240

Phone: (803) 225-6332

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NPI record

NPI: 1639802267
Entity type: Individual (Type 1)
Enumeration date: July 1, 2022
Last updated: July 1, 2022
Certified: July 1, 2022
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Behavior Analyst Primary	`103K00000X`	—	SC

About Erica Wallace

Erica Lynn Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5286 Summerton Hwy, Manning, SC 29102-8240. The NPI number 1639802267 was assigned on July 1, 2022 and the record was last updated on July 1, 2022.

Frequently asked questions

What is the NPI number of Erica Lynn Wallace?

The NPI number is 1639802267.

What is the phone number of Erica Wallace?

The phone number listed for the practice location is (803) 225-6332.

Where is Erica Wallace located?

5286 Summerton Hwy, Manning, SC 29102-8240.

What is the taxonomy code for Erica 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.