TRACEE WALLACE


Address: 963 Texas St, Mobile, AL 36604-3148
Phone: 2519308160

TRACEE WALLACE (NPI# 1679182539) 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) 1679182539
Entity Type Individual
Full Name TRACEE WALLACE
Practice Address 963 Texas St
Mobile
AL 36604-3148
Practice Telephone 2519308160
Mailing Telephone 2519308160
Enumeration Date 2020-07-27
Last Update Date 2020-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst CA Behavioral Health & Social Service Providers

Other Providers TRACEE WALLACE

NPI Name Taxonomy Address Enumeration
1811128010 Tracee Marie Wallace Physician Assistant 5255 Loughboro Rd Nw, Washington, DC 20016-2633 2009-08-05

Office Location

Street Address 963 TEXAS ST
City MOBILE
State AL
Zip Code 36604-3148

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013551449 John F Kilpatrick Social Worker 1156 Springhill Avenue, Mobile, AL 36604 2019-10-29
1477036986 Rachel Schneider Specialist/Technologist 1601 Center St Ste B, Mobile, AL 36604 2018-09-11
1891218194 Transitional Care LLC Nurse Practitioner 1725 Springhill Avenue, Mobile, AL 36604 2017-07-19
1427404722 Precision Orthotics & Prosthetics,llc Durable Medical Equipment & Medical Supplies 1557 Springhill Avenue, Mobile, AL 36604 2016-05-05
1851737746 Robert P. Kobelja Psychiatry & Neurology 1601 Center St Ste 2s, Mobile, AL 36604 2013-05-17
1619233970 Lisa Brown Bailey Nurse Practitioner 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 2012-04-11
1023341773 Rebecca Blankenhorn Audiologist 1610 Center St., Suite A, Mobile, AL 36604 2009-09-14
1700062684 William-glenn Langley Hollingsworth Counselor 1156 Springhill Ave, Mobile, AL 36604 2008-01-10
1972715415 Allison May Chung Pharmacist 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 2007-05-04
1265504716 Geriatric Specialists LLC Internal Medicine 1059 Palmetto St, Mobile, AL 36604 2006-11-13
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Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477172591 Felicia Bass Assistant Behavior Analyst 475 Providence Main St Nw Ste 201, Huntsville, AL 35806-4828 2020-04-09
1902440761 Full Spectrum Aba of Alabama LLC Assistant Behavior Analyst 212 W Troy St Ste B, Dothan, AL 36303-4455 2019-11-04
1285116269 Cara Elizabeth Norris Assistant Behavior Analyst 23917 Spanish Trail Rd, Opp, AL 36467-6029 2018-09-05
1336688480 Katherine Frederick Assistant Behavior Analyst 9130 Park Ave, Semmes, AL 36575-5322 2017-02-21
1033654553 Kathryn Davis Assistant Behavior Analyst 807 Donnell Blvd, Suite Q, Daleville, AL 36322 2016-12-20
1851649701 Casey Elizabeth Willis Assistant Behavior Analyst 106 Evening Shade, Harvest, AL 35749-4875 2012-08-27
1386261667 Jamie Marie Stotler Assistant Behavior Analyst 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 2020-07-02
1194356816 Everything On The Spectrum LLC Assistant Behavior Analyst 185 Chateau Dr Sw Ste 102, Huntsville, AL 35801-7415 2020-01-31
1790329126 Erika Nicole Schmidt Assistant Behavior Analyst 204 N Main St, Enterprise, AL 36330-2539 2019-10-29
1922669068 Lauren Caine Cotlin Assistant Behavior Analyst 2233 Cahaba Valley Dr, Birmingham, AL 35242-2602 2019-06-27
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Competitor

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City MOBILE
Zip Code 36604

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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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