THEODORE WALLACE JR.


Address: 66 Rockhaven Court, Reading, PA 19606
Phone: 2153998996

THEODORE WALLACE JR. (NPI# 1225431190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225431190
Entity Type Individual
Full Name THEODORE WALLACE JR.
Practice Address 66 Rockhaven Court
Reading
PA 19606
Practice Telephone 2153998996
Mailing Telephone 2153998996
Enumeration Date 2014-10-06
Last Update Date 2014-10-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst BH0001046 PA Behavioral Health & Social Service Providers

Other Providers THEODORE WALLACE

NPI Name Taxonomy Address Enumeration
1609931393 Theodore William Wallace Physician Assistant Madigan Army Medical Ctr, 9040a Fitzsimmons Dr, Tacoma, WA 98431-0001 2006-12-25

Office Location

Street Address 66 ROCKHAVEN COURT
City READING
State PA
Zip Code 19606

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1699293977 Vitalia Lopez Licensed Practical Nurse 1064 Fox Run, Reading, PA 19606 2017-09-06
1033665815 Tyler Black Pharmacist 320 Parkview Ave, Reading, PA 19606 2016-08-31
1003285214 Brittany Stankovic Speech-Language Pathologist 208 Lincoln Drive, Reading, PA 19606 2015-09-17
1326314790 Megan Ann Guzowski Occupational Therapy Assistant 5501 Perkiomen Avenue, Reading, PA 19606 2012-03-29
1720241367 Jose A Ruiz Martinez Pharmacist 23 Pickwick Pl, Exeter, PA 19606 2008-07-03
1194925263 Jon M Kanegawa Dentist 4462 Boyertown Pike, Reading, PA 19606 2007-07-18
1780722298 Randal Cory Reinecker Dentist 5 Hearthstone Court, Suite 102, Reading, PA 19606 2007-02-05
1003953423 James C Petras Dentist 2951 St Lawrence Ave, Reading, PA 19606 2007-02-01
1639234966 Glenn D Ruoss Dentist 17 North 23rd St, Mt Penn, PA 19606 2006-12-27
1699854414 Tom Zillhardt Dentist 20 North 23 Street, Mount Penn, PA 19606 2006-11-03
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598385775 Branden Roger Jambeau Behavioral Analyst 3033 Kutztown Rd Side 1, Reading, PA 19605-2698 2020-04-17
1093227795 Agnes Mary Roberts Behavioral Analyst 406 Eastwick Dr, Reading, PA 19606-9097 2017-11-02
1548716970 Samantha Cotter Behavioral Analyst 30 Perkins Ave, Reading, MA 01867-3318 2016-08-26
1194177253 Katherine Iacoviello Behavioral Analyst 51 Lilah Ln, Reading, MA 01867-1062 2016-07-12
1942652029 Danielle Nickerson Behavioral Analyst 25 Sandra Ln, Reading, MA 01867-1045 2016-07-12
1558735837 Beth Hertzog Behavioral Analyst 117 Victoria Ln # B-117, Reading, PA 19610-1401 2015-11-24
1568839769 Sakinah Mustafa Behavioral Analyst 306 Hollenbach St, Reading, PA 19601-2402 2015-08-24
1700271145 Braelyn Elizabeth Beaver Behavioral Analyst 52d Muirfield Dr, Reading, PA 19607-3352 2015-04-02
1629460068 Jessica Luchetta Behavioral Analyst 3943 Lynn Ave, Reading, PA 19606-2881 2015-02-23
1679984678 Colleen Teresa Dow Behavioral Analyst 51b Muirfield Dr, Reading, PA 19607-3351 2014-05-13
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Competitor

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City READING
Zip Code 19606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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