Chanda Wallace
Behavior Technician in Burlington, Massachusetts
1649930975- Practice location
- 6 Lincoln Knoll Ln Ste 104, Burlington, MA 01803-4729
- Phone
- 818-241-6780
- Fax
- 800-819-7806
- Last updated
- December 28, 2021
Chanda Wallace is a Behavior Technician based in Burlington, MA. Chanda Wallace practices in Burlington, MA. The NPI Number for Chanda Wallace is 1649930975. The current practice location address for Chanda Wallace is 6 Lincoln Knoll Ln Ste 104, Burlington, MA 01803-4729 and can be reached out via phone at 818-241-6780 and via fax at 800-819-7806.
Provider Profile Details
- NPI Number
- 1649930975
- Provider Name
- Chanda Wallace
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Lincoln Knoll Ln Ste 104, Burlington, MA 01803-4729
- Phone Number
- 818-241-6780
- Fax Number
- 800-819-7806
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 28, 2021
- Last Update Date
- December 28, 2021
- Certification Date
- December 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Lincoln Knoll Ln Ste 104
Burlington, MA 01803-4729 - City
- Burlington
- State
- Massachusetts
- Zip
- 01803-4729
- Phone Number
- 818-241-6780
- Fax Number
- 800-819-7806
Provider Business Mailing Address Details
- Address
- 1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-4066 - City
- Monrovia
- State
- CA
- Zip
- 91016-4066
- Phone Number
- 978-596-5790
License Information
- Taxonomy
- Behavior Technician · 106S00000X · 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 Chanda Wallace?
The NPI number of Chanda Wallace is 1649930975. It was assigned on December 28, 2021 and is currently active in the NPPES registry.
What is the specialty of Chanda Wallace?
Chanda Wallace is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Chanda Wallace practice?
The practice location is 6 Lincoln Knoll Ln Ste 104, Burlington, MA 01803-4729. The office can be reached at 818-241-6780 (phone) or 800-819-7806 (fax).
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 1649930975 directly on the NPPES registry website.