Mrs. Caroline M Wallace, MS, BCBA
Behavior Analyst in Stonington, Connecticut
1841857141- Practice location
- 4 Broadway Ave Ext, Unit 3, Stonington, CT 06378
- Phone
- 860-980-3233
- Fax
- —
- Last updated
- May 22, 2019
Caroline Madeline Wallace is a Behavior Analyst based in Stonington, CT. Caroline Madeline Wallace practices in Stonington, CT and has the professional credentials of MS, BCBA. The NPI Number for Caroline Madeline Wallace is 1841857141 and holds a License No. 805 (CT). The current practice location address for Caroline Madeline Wallace is 4 Broadway Ave Ext, Unit 3, Stonington, CT 06378 and can be reached out via phone at 860-980-3233.
Provider Profile Details
- NPI Number
- 1841857141
- Provider Name
- Caroline Madeline Wallace
- Credential
- MS, BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Broadway Ave Ext, Unit 3, Stonington, CT 06378
- Phone Number
- 860-980-3233
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 22, 2019
- Last Update Date
- May 22, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Broadway Ave Ext, Unit 3
Stonington, CT 06378 - City
- Stonington
- State
- Connecticut
- Zip
- 06378
- Phone Number
- 860-980-3233
Provider Business Mailing Address Details
- Address
- 5 Wood Crest Dr
Old Lyme, CT 06371-2840 - City
- Old Lyme
- State
- CT
- Zip
- 06371-2840
- Phone Number
- 207-228-3291
License Information
- License Number
- 805
- License State
- CT
- 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. | |||
Other Behavior Analysts near Stonington, CT
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Frequently Asked Questions
What is the NPI number of Mrs. Caroline M Wallace, MS, BCBA?
The NPI number of Mrs. Caroline M Wallace, MS, BCBA is 1841857141. It was assigned on May 22, 2019 and is currently active in the NPPES registry.
What is the specialty of Mrs. Caroline M Wallace, MS, BCBA?
Mrs. Caroline M Wallace, MS, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 805.
Where does Mrs. Caroline M Wallace, MS, BCBA practice?
The practice location is 4 Broadway Ave Ext, Unit 3, Stonington, CT 06378. The office can be reached at 860-980-3233 (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 1841857141 directly on the NPPES registry website.