Samantha C Wallace
Behavior Technician in Bedford, Massachusetts
1790457158- Practice location
- 205 Burlington RD, Bedford, MA 01730-1406
- Phone
- 781-761-5089
- Fax
- —
- Last updated
- October 4, 2021
Samantha Cooper Wallace is a Behavior Technician based in Bedford, MA. Samantha Cooper Wallace practices in Bedford, MA. The NPI Number for Samantha Cooper Wallace is 1790457158. The current practice location address for Samantha Cooper Wallace is 205 Burlington RD, Bedford, MA 01730-1406 and can be reached out via phone at 781-761-5089.
Provider Profile Details
- NPI Number
- 1790457158
- Provider Name
- Samantha Cooper Wallace
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 205 Burlington RD, Bedford, MA 01730-1406
- Phone Number
- 781-761-5089
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2021
- Last Update Date
- October 4, 2021
- Certification Date
- October 4, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205 Burlington RD
Bedford, MA 01730-1406 - City
- Bedford
- State
- Massachusetts
- Zip
- 01730-1406
- Phone Number
- 781-761-5089
Provider Business Mailing Address Details
- Address
- 205 Burlington RD
Bedford, MA 01730-1406 - City
- Bedford
- State
- MA
- Zip
- 01730-1406
- Phone Number
- 781-761-5089
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 Samantha C Wallace?
The NPI number of Samantha C Wallace is 1790457158. It was assigned on October 4, 2021 and is currently active in the NPPES registry.
What is the specialty of Samantha C Wallace?
Samantha C Wallace is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Samantha C Wallace practice?
The practice location is 205 Burlington RD, Bedford, MA 01730-1406. The office can be reached at 781-761-5089 (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 1790457158 directly on the NPPES registry website.