Chanda Wallace

Behavior Technician · Burlington, MA

Individual Active NPI

NPI number 1649930975

Practice location

6 Lincoln Knoll Ln Ste 104
Burlington, MA 01803-4729
Phone
(818) 241-6780
Fax
(800) 819-7806

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NPI record

NPI
1649930975
Entity type
Individual (Type 1)
Enumeration date
December 28, 2021
Last updated
December 28, 2021
Certified
December 28, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-4066
Phone
(978) 596-5790

About Chanda Wallace

Chanda Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 6 Lincoln Knoll Ln Ste 104, Burlington, MA 01803-4729. The NPI number 1649930975 was assigned on December 28, 2021 and the record was last updated on December 28, 2021.

Frequently asked questions

What is the NPI number of Chanda Wallace?

The NPI number is 1649930975.

What is the phone number of Chanda Wallace?

The phone number listed for the practice location is (818) 241-6780.

Where is Chanda Wallace located?

6 Lincoln Knoll Ln Ste 104, Burlington, MA 01803-4729.

What is the taxonomy code for Chanda 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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