Jordynbrielle E Wallace, BCBA
Behavior Analyst in Runnemede, New Jersey
1215809330- Practice location
- 60 Harding Ave, Runnemede, NJ 08078-1717
- Phone
- 609-997-1778
- Fax
- —
- Last updated
- September 18, 2025
Jordynbrielle Elaine Wallace is a Behavior Analyst based in Runnemede, NJ. Jordynbrielle Elaine Wallace practices in Runnemede, NJ and has the professional credentials of BCBA. The NPI Number for Jordynbrielle Elaine Wallace is 1215809330. The current practice location address for Jordynbrielle Elaine Wallace is 60 Harding Ave, Runnemede, NJ 08078-1717 and can be reached out via phone at 609-997-1778.
Provider Profile Details
- NPI Number
- 1215809330
- Provider Name
- Jordynbrielle Elaine Wallace
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 60 Harding Ave, Runnemede, NJ 08078-1717
- Phone Number
- 609-997-1778
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 18, 2025
- Last Update Date
- September 18, 2025
- Certification Date
- September 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Harding Ave
Runnemede, NJ 08078-1717 - City
- Runnemede
- State
- New Jersey
- Zip
- 08078-1717
- Phone Number
- 609-997-1778
Provider Business Mailing Address Details
- Address
- 60 Harding Ave
Runnemede, NJ 08078-1717 - City
- Runnemede
- State
- NJ
- Zip
- 08078-1717
License Information
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jordynbrielle E Wallace, BCBA?
The NPI number of Jordynbrielle E Wallace, BCBA is 1215809330. It was assigned on September 18, 2025 and is currently active in the NPPES registry.
What is the specialty of Jordynbrielle E Wallace, BCBA?
Jordynbrielle E Wallace, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Jordynbrielle E Wallace, BCBA practice?
The practice location is 60 Harding Ave, Runnemede, NJ 08078-1717. The office can be reached at 609-997-1778 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215809330 directly on the NPPES registry website.