BROOKE WALLACE (NPI# 1043743495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043743495 |
| Entity Type | Individual |
| Full Name | BROOKE WALLACE |
| Credential | M.A., BCBA |
| Practice Address |
1513 Canary Dr Little Elm TX 75068-8460 |
| Practice Telephone | 4695694082 |
| Mailing Telephone | 4695694082 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 11-3131-09 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1093199200 | Brooke Wallace | Behavioral Analyst | 13015 W 2nd Pl Apt 212, Lakewood, CO 80228-1317 | 2015-07-17 |
| 1427688506 | Brooke Wallace | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-01-17 |
| 1477020659 | Brooke Wallace | Occupational Therapy Assistant | 1699 Red Wolf Blvd, Jonesboro, AR 72401-5442 | 2018-10-25 |
| 1538490347 | Brooke Wallace | Occupational Therapist | 505 N Sam Houston Pkwy E, 200, Houston, TX 77060-4018 | 2010-01-18 |
| 1730228057 | Brooke Mary Wallace | Social Worker | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2007-02-05 |
| Street Address |
1513 CANARY DR |
| City | LITTLE ELM |
| State | TX |
| Zip Code | 75068-8460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1275178865 | A Gud Dentist, Pllc | Clinic/Center | 3010 Fm 423, #100, Little Elm, TX 75068 | 2019-11-07 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1447813183 | Adisy Senior Care | In Home Supportive Care | 1036 Ponderosa Ridge, Little Elm, TX 75068 | 2019-04-18 |
| 1518427715 | Cvs Pharmacy Inc | Pharmacy | 1177 Us Hwy 380, Frisco, TX 75068 | 2019-03-22 |
| 1205390382 | Catherine Mary Belyan | Specialist/Technologist, Other | 916 Rivers Creek Ln, Little Elm, TX 75068 | 2019-01-23 |
| 1851884407 | Peak Physical Therapy, LLC | Occupational Therapist | 2765 E Eldorado Pkwy Ste 210, Little Elm, TX 75068 | 2018-06-08 |
| 1134637119 | Kidzania Dental, LLC | Dentist | 26785 E. University Dr, St. 102, Aubrey, TX 75068 | 2018-01-12 |
| 1598289225 | Joshua Allen Nannen | Chiropractor | 900 Snowbird Dr, Little Elm, TX 75068 | 2017-08-03 |
| 1205381076 | Ka Park | Dentist | 1000 E Eldorado Pkwy #130, Little Elm, TX 75068 | 2016-08-22 |
| Find all providers in zip 75068 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223737 | Radiant Autism Center, LLC | Behavioral Analyst | 2831 W Eldorado Pkwy Ste 106, Little Elm, TX 75068-3540 | 2020-10-23 |
| 1811556087 | Brilliant Starts Aba, LLC | Behavioral Analyst | 2301 Leeward Pl, Little Elm, TX 75068-6319 | 2019-06-11 |
| 1528479839 | Robin Lewis | Behavioral Analyst | 2733 Elderberry Ln, Little Elm, TX 75068-6806 | 2014-05-08 |
| 1326465881 | Kristin Fida | Behavioral Analyst | 14711 Eaglemont Dr, Little Elm, TX 75068-2733 | 2014-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063188 | Victoria Renee Sanchez | Behavioral Analyst | 3201 Cherry Ridge Dr Ste 205, San Antonio, TX 78230-4835 | 2020-11-02 |
| 1235739285 | Emily Sanchez | Behavioral Analyst | 4084 S Regent Dr, Wichita Falls, TX 76308-1508 | 2020-10-29 |
| 1194325522 | Sridivya Pattisam | Behavioral Analyst | 1215 W Slaughter Ln Apt 534, Austin, TX 78748-6709 | 2020-10-26 |
| 1013516673 | Stephanie Carolina Lopez | Behavioral Analyst | 40 Cypress Creek Pkwy # 234, Houston, TX 77090-3530 | 2020-10-23 |
| 1942809124 | Lacuna Autism Services LLC | Behavioral Analyst | 2923 Dason Ledge, San Antonio, TX 78258-4591 | 2020-10-20 |
| 1639777196 | Ninja Smith | Behavioral Analyst | 3801 Brandywine Dr Apt 216, Bedford, TX 76021-5261 | 2020-10-15 |
| 1609474337 | Samantha Katchy | Behavioral Analyst | 20751 Holly Rain Dr, Katy, TX 77449-1667 | 2020-10-14 |
| 1528666583 | Darcy Rose Davison | Behavioral Analyst | 3000 Moseley Rd, Crossroads, TX 76227-8025 | 2020-10-13 |
| 1407453749 | Southlake Hb Aba Services LLC | Behavioral Analyst | 940 S Kimball Ave Ste 175, Southlake, TX 76092-9024 | 2020-10-08 |
| 1740887660 | Bharat Dhurka | Behavioral Analyst | 5208 Village Creek Dr Ste 104, Plano, TX 75093-4481 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ELM |
| Zip Code | 75068 |
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| 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.