TERESA MICHELLE WALLACE (NPI# 1154966984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154966984 |
| Entity Type | Individual |
| Full Name | TERESA MICHELLE WALLACE |
| Practice Address |
1941 S 42nd St Ste 328 Omaha NE 68105-2943 |
| Practice Telephone | 4026148444 |
| Mailing Telephone | 4026148444 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600081 | Teresa Wallace | Licensed Practical Nurse | 2 Rifkin Ct, Spring Valley, NY 10977-2236 | 2018-12-05 |
| 1225357635 | Teresa M Wallace | Nurse Practitioner | 1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025 | 2010-05-25 |
| 1417026402 | Teresa H. Wallace | Speech-Language Pathologist | 1511 Copper Creek Dr, Owensboro, KY 42303-1797 | 2006-11-06 |
| 1871509646 | Teresa L Wallace | Family Medicine | 3915 Talbot Rd S, Ste 401, Renton, WA 98055-5738 | 2006-07-31 |
| 1497709703 | Teresa Wallace | Audiologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-05-20 |
| Street Address |
1941 S 42ND ST STE 328 |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194036079 | Joshua Loren Needelman | Counselor | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2010-06-25 |
| 1932707858 | Neha Vaishali Imrit | Behavior Technician | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2020-10-13 |
| 1730791591 | Amanda Ketcham | Behavior Technician | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2020-08-21 |
| 1285259895 | Michelle Renee Minor | Counselor | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2020-06-09 |
| 1962041319 | Amy Wolfe | Counselor | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2020-01-02 |
| 1184269110 | Alee Maren Larson | Counselor | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2019-11-13 |
| 1720638844 | David Garett Bernard | Counselor | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2019-09-19 |
| 1548810609 | Emily Ellen Schreiner | Counselor | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2019-09-19 |
| 1316597651 | Kimberly Sue Wilkinson | Counselor | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2019-09-18 |
| 1346897360 | Debra Wert | Behavior Technician | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609343920 | Jamaih Tyndall | Behavior Technician | 2111 S 67th St Ste 352, Omaha, NE 68106-2882 | 2018-10-24 |
| 1710466982 | Maya Lee Evans | Behavior Technician | 10406 Fort Plz Apt 9, Omaha, NE 68134-1225 | 2018-08-08 |
| 1891285458 | Lainey Marilyn Diers | Behavior Technician | 7905 L St Ste 230, Omaha, NE 68127-1732 | 2018-05-18 |
| 1205383338 | Grace Spath | Behavior Technician | 985450 Nebraska Medical Center, Omaha, NE 68198-5450 | 2016-09-07 |
| 1073114898 | Lane Weston Willmott | Behavior Technician | 8922 Cuming St, Omaha, NE 68114-2732 | 2020-11-06 |
| 1114528320 | Aaron Hiatt | Behavior Technician | 8922 Cuming St, Omaha, NE 68114-2732 | 2020-11-04 |
| 1194324418 | Abigail Leigh Ahmann | Behavior Technician | 9012 Q St, Omaha, NE 68127-3549 | 2020-10-19 |
| 1467050930 | Christina Colleen Stasi | Behavior Technician | 9012 Q St, Omaha, NE 68127-3549 | 2020-10-15 |
| 1932707858 | Neha Vaishali Imrit | Behavior Technician | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2020-10-13 |
| 1487251179 | Hannah May | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-10-06 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on TERESA MICHELLE WALLACE.
| 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.