MEGAN ELIZABETH WALLACE (NPI# 1447725957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447725957 |
| Entity Type | Individual |
| Full Name | MEGAN ELIZABETH WALLACE |
| Practice Address |
784 Kelsall Dr Richmond Hill GA 31324-7706 |
| Practice Telephone | 9123080194 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 053516240 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386181022 | Megan Wallace | Nurse Practitioner | 2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087-3543 | 2017-01-19 |
| 1972838878 | Megan Ann Wallace | Speech-Language Pathologist | 1000 W 15th St, Unit 224, Chicago, IL 60608-1882 | 2009-10-09 |
| 1003385170 | Megan Nicol Wallace | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401-4895 | 2018-11-19 |
| 1780123521 | Megan E. Wallace | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-02-13 |
| 1326420720 | Megan Wallace | Social Worker | 67 President St, Msc 861, Iop 2 South, Charleston, SC 29425-5712 | 2015-06-22 |
| 1174911168 | Megan Wallace | Nurse Anesthetist, Certified Registered | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2014-12-30 |
| 1881095933 | Megan Wallace | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-09-09 |
| 1306252473 | Megan Wallace | Occupational Therapist | 162 W 72nd St, 5th Floor, New York, NY 10023-3300 | 2014-07-09 |
| 1306192810 | Megan M Wallace | Audiologist | 2502 E Empire St, Bloomington, IL 61704-3738 | 2012-08-02 |
| 1518253905 | Megan Wallace | Speech-Language Pathologist | 6180 Brockton Ave, Suite 202, Riverside, CA 92506-2228 | 2011-06-23 |
| Street Address |
784 KELSALL DR |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176525 | Samantha Gosper | Behavior Technician | 194 Ainsdale Dr, Richmond Hill, GA 31324-7821 | 2020-08-28 |
| 1841802998 | Jacquan White | Behavior Technician | 100 Timber Trail Rd Ste 100, Richmond Hill, GA 31324-9415 | 2020-08-20 |
| 1346874047 | Nicollette Hendley | Behavior Technician | 100 Timber Trail, Suite 201, Richmond Hill, GA 31324-9430 | 2020-03-03 |
| 1417589136 | Brandy Lee Hill | Behavior Technician | 10 Long Creek Lane, Richmond Hill, GA 31324-8601 | 2020-02-11 |
| 1205470960 | Kylie E Mccollough | Behavior Technician | 100 Timber Trail Rd Ste 201, Richmond Hill, GA 31324-9430 | 2019-11-05 |
| 1831661693 | Allyson Leigh Sierra | Behavior Technician | 3766 Highway 17 Suite 301, Richmond Hill, GA 31324-3132 | 2018-12-18 |
| 1457828550 | Audrea Katina Espinoza | Behavior Technician | 88 William Hall Way, Richmond Hill, GA 31324-5933 | 2018-10-26 |
| 1700487337 | Tabitha Hayden | Behavior Technician | 100 Timber Trail Rd Ste 201, Richmond Hill, GA 31324-9430 | 2020-11-02 |
| 1881201663 | Kenya D Rose | Behavior Technician | 10 Long Creek Ln, Richmond Hill, GA 31324-8601 | 2020-09-25 |
| 1598372617 | Briana Mathis | Behavior Technician | 100 Timber Trail Rd Ste 100, Richmond Hill, GA 31324-9415 | 2020-09-24 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
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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.