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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | BH0001046 | PA | Behavioral Health & Social Service Providers |
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 |
Street Address |
66 ROCKHAVEN COURT |
City | READING |
State | PA |
Zip Code | 19606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 19606 |
Taxonomy Code | 103K00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavioral Analyst |
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] |
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 |
Find all providers in READING |
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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.