STEPHEN WALLACE


Address: 403 N 4th St, Leavenworth, KS 66048-1966
Phone: 9132505509

STEPHEN WALLACE (NPI# 1427668102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427668102
Entity Type Individual
Full Name STEPHEN WALLACE
Credential RBT
Practice Address 403 N 4th St
Leavenworth
KS 66048-1966
Practice Telephone 9132505509
Enumeration Date 2020-08-06
Last Update Date 2020-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician RBT-20-130807 MO Behavioral Health & Social Service Providers

Other Providers STEPHEN WALLACE

NPI Name Taxonomy Address Enumeration
1194220061 Stephen Wallace Student in an Organized Health Care Education/Training Program 200 Lothrop Street, Upmc Presbyterian, South Tower 2nd Floor, Suite 200, Pittsburgh, PA 15213 2018-03-24
1457713778 Stephen Edward Wallace Family Medicine 6525 So. 100th Street, Omaha, NE 68127 2016-03-25
1205020286 Stephen Leon Wallace Dentist 225 Dunbar Cave Rd Ste B, Clarksville, TN 37043-8846 2007-08-31
1831304062 Stephen Wylie Wallace Dentist 430 E. Lamar Blvd., Suite C, Arlington, TX 76011-3600 2007-05-11
1780781831 Stephen Anthony Wallace Dentist 310 W Burlington Ave, La Grange, IL 60525-2363 2006-09-20
1437264330 Stephen R. Wallace Social Worker 74 Dana St, Providence, RI 02906-2620 2006-08-20
1336131044 Stephen A Wallace Anesthesiology 2741 S 8th Ave, Suite C, Yuma, AZ 85364-7154 2005-08-18
1104820174 Stephen Curtis Wallace Dentist 2525 Delaney Rd, Wilmington, NC 28403-6003 2005-06-08
1053849802 Stephen Paden Wallace Physical Therapist 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 2017-05-24
1205222502 Stephen Blake Wallace Orthopaedic Surgery 3055 Roslyn St Unit 200, Denver, CO 80238-3324 2015-04-13

Office Location

Street Address 403 N 4TH ST
City LEAVENWORTH
State KS
Zip Code 66048-1966

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104148261 Sylvia Ivonne Trevino-maack Psychologist 403 N 4th St, Leavenworth, KS 66048-1966 2010-02-17
1922625037 Natalie B. Bradish Behavioral Analyst 403 N 4th St, Leavenworth, KS 66048-1966 2020-07-06
1700415270 Christal A Simpson Behavior Technician 403 N 4th St, Leavenworth, KS 66048-1966 2020-04-06
1932766870 Stefanie Roberts Behavior Technician 403 N 4th St, Leavenworth, KS 66048-1966 2019-05-28
1942709126 Monarch Behavioral Supports, LLC Behavior Technician 403 N 4th St, Leavenworth, KS 66048-1966 2018-02-02
1033625322 Kim M Delamore Behavior Technician 403 N 4th St, Leavenworth, KS 66048-1966 2017-12-21
1851807143 Amanda Noble Behavior Technician 403 N 4th St, Leavenworth, KS 66048-1966 2017-12-21
1689180036 Kelly Higby-gleue Behavioral Analyst 403 N 4th St, Leavenworth, KS 66048-1966 2017-12-21
1164938460 Courtney Marie Trieb Behavioral Analyst 403 N 4th St, Leavenworth, KS 66048-1966 2017-12-21
1902312200 Patricia Carter Behavior Technician 403 N 4th St, Leavenworth, KS 66048-1966 2017-12-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023653854 Dawn Rishelle Hudson Registered Nurse 711 Marshall St., Leavenworth, KS 66048 2019-11-15
1427606706 Nathan A Laskowski Dentist 3507 S 4th St. Trafficway, Leavenworth, KS 66048 2019-08-29
1386100220 Aligned Health Chiropractic, LLC Chiropractor 402 Delware Street, Leavenworth, KS 66048 2019-02-15
1255805917 Jordan Rachelle Kloepper Chiropractor 402 Delaware Street, Leavenworth, KS 66048 2019-01-16
1851862270 Sarah Jane Wallace Nurse Practitioner Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 2018-12-11
1194222034 Christie Ann Nelson Psychologist 4101 4th Street Trafficway, Leavenworth, KS 66048 2018-04-08
1558865782 Sunflower Counseling Center LLC Clinic/Center 205 S 5th St Ste 15, Leavenworth, KS 66048 2018-03-21
1578062824 Insoon G Hoagland Marriage & Family Therapist 205 S 5th St Ste 20, Leavenworth, KS 66048 2018-02-01
1467804542 Raechel Marie Mackey Nurse Practitioner 4101 S 4th St Bldg 160, Leavenworth, KS 66048 2016-07-12
1073969598 Kristen Simpson Chiropractor 211-b Delaware Street, Leavenworth, KS 66048 2016-05-13
Find all providers in zip 66048

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215421789 Matilian Cassmeyer Behavior Technician 4409 Parkway Dr, Leavenworth, KS 66048-5559 2018-06-19
1811488133 Ginarae Elizabeth Hermanson Behavior Technician 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 2018-05-22
1194252007 Celina Patrice Evans Behavior Technician 629 Pawnee St, Leavenworth, KS 66048-1447 2017-05-23
1013516863 Anna Miller Behavior Technician 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 2020-10-22
1336748185 Nicole Whitlow Behavior Technician 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 2020-10-22
1376142034 Madison Dillon Behavior Technician 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 2020-10-22
1962000695 James Jones Behavior Technician 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 2020-10-14
1639786684 Samantha Aguilar Behavior Technician 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 2020-09-24
1942816269 Kiley Barnes Behavior Technician 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 2020-09-22
1134734197 Sara Nooner Behavior Technician 1719 Metropolitan Ave, Leavenworth, KS 66048-1124 2020-09-15
Find all providers in LEAVENWORTH

Competitor

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City LEAVENWORTH
Zip Code 66048

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Dataset Information

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.

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