Macie Wallace, BCBA
Behavior Analyst · Mishawaka, IN
NPI number
1851987523
Practice location
525 Park Place CirMishawaka, IN 46545-3511
- Phone
- (574) 387-4313
NPI record
- NPI
- 1851987523
- Entity type
- Individual (Type 1)
- Enumeration date
- December 17, 2020
- Last updated
- December 17, 2020
- Certified
- December 17, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
Mailing address
1824 Touby Pike Ste BKokomo, IN 46901-2573
About Macie Wallace
Macie Wallace, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 525 Park Place Cir, Mishawaka, IN 46545-3511. The NPI number 1851987523 was assigned on December 17, 2020 and the record was last updated on December 17, 2020.
Frequently asked questions
What is the NPI number of Macie Wallace, BCBA?
The NPI number is 1851987523.
What is the phone number of Macie Wallace?
The phone number listed for the practice location is (574) 387-4313.
Where is Macie Wallace located?
525 Park Place Cir, Mishawaka, IN 46545-3511.
What is the taxonomy code for Macie 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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