THERESA WALLACE (NPI# 1497096333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497096333 |
| Entity Type | Individual |
| Full Name | THERESA WALLACE |
| Credential | MSED |
| Practice Address |
147-26 18th Ave Whitestone NY 11357-3108 |
| Practice Telephone | 9176133900 |
| Mailing Telephone | 9176133900 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | $$$$$$$$$ | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013498039 | Theresa Wallace | Home Health Aide | 1200 Ac Evans St Apt 2, Riviera Beach, FL 33404-2063 | 2018-08-27 |
| 1063947018 | Theresa Wallace | Home Health Aide | 2201 1/2 Roslyn Ave, Apt 203, Baltimore, MD 21216-2522 | 2017-04-27 |
| 1124688445 | Theresa Marie Wallace | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4787 | 2019-06-18 |
| 1467990572 | Theresa Marie Wallace | Licensed Vocational Nurse | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2017-02-09 |
| 1578627931 | Theresa Wallace | Physical Therapist | 8833 Gross Point Rd, Skokie, IL 60077-1859 | 2006-12-20 |
| 1801842091 | Theresa C Wallace | Family Medicine | 95 Madison Ave, Suite 101, Morristown, NJ 07960 | 2006-05-26 |
| Street Address |
147-26 18TH AVE |
| City | WHITESTONE |
| State | NY |
| Zip Code | 11357-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695438 | Christina Alvarez | Physician Assistant | 14704 8th Avenue, Whitestone, NY 11357 | 2020-10-06 |
| 1265047559 | Caitlin M Burke | Speech-Language Pathologist | 12-10 150th St, Whitestone, NY 11357 | 2020-09-13 |
| 1013548007 | Christina Nichole De Vito | Student in an Organized Health Care Education/Training Program | 15-50 14th Road, Whitestone, NY 11357 | 2020-01-29 |
| 1669956876 | Core Physical Therapy of Queens PC | Physical Therapist | 150-47b 14th Ave, Whitestone, NY 11357 | 2018-09-24 |
| 1356832307 | Nerlande A Hjardemaal | Registered Nurse | 14201 20th Ave, Flushing, NY 11357 | 2018-05-25 |
| 1114443504 | Dorothya O Thompson | Case Manager/Care Coordinator | 152-53 10th Ave, Whitestone, NY 11357 | 2017-08-17 |
| 1124540794 | Gaelle Anta Fall-koffi | Case Manager/Care Coordinator | 152-53, 10th Avenue, Suite 201, Whitestone, NY 11357 | 2017-07-14 |
| 1841729209 | Charlene Underwood | Case Management | 152-53-10th Ave, Whitestone, NY 11357 | 2017-06-08 |
| 1356880892 | Lindsay Ingenito | Student in an Organized Health Care Education/Training Program | 14203 20th Ave, Flushing, NY 11357 | 2017-02-16 |
| 1952756389 | Whiyie Alfonso Sang | Student in an Organized Health Care Education/Training Program | 154-65 10th Ave, New York, NY 11357 | 2016-05-04 |
| Find all providers in zip 11357 | ||||
| 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 |
|---|---|---|---|---|
| 1225649106 | Quartet Behavioral Spectrum Services | Behavioral Analyst | 1902 149th St, Whitestone, NY 11357-3116 | 2020-08-13 |
| 1699390948 | Sophia Eretzian | Behavioral Analyst | 15018 7th Ave, Whitestone, NY 11357-1209 | 2020-06-12 |
| 1477083020 | Emily Semo | Behavioral Analyst | 311 148th St, Whitestone, NY 11357-1122 | 2017-06-15 |
| 1972059863 | Dina Moussa | Behavioral Analyst | 15090 Cross Island Pkwy, Whitestone, NY 11357-2624 | 2016-08-30 |
| 1184179376 | Jackeline Abbondandolo | Behavioral Analyst | 1634 157th St, Whitestone, NY 11357-3237 | 2016-08-17 |
| 1679951024 | Christina Stark | Behavioral Analyst | 14454 Willets Point Blvd, Whitestone, NY 11357-3411 | 2015-05-18 |
| 1891172730 | Carissa Pirotta | Behavioral Analyst | 1717 Utopia Pkwy, Whitestone, NY 11357-3347 | 2015-04-29 |
| 1720322258 | Rocio E Chavez | Behavioral Analyst | 1210 150th St, Whitestone, NY 11357-1748 | 2012-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437308 | Yasmin Elhendy | Behavioral Analyst | 14068a Burden Cres, Jamaica, NY 11435-2359 | 2020-11-04 |
| 1326649815 | James Sanborn | Behavioral Analyst | 2828 42nd St Apt A2, Astoria, NY 11103-2942 | 2020-11-03 |
| 1932709540 | Cassandra Jasmine Hyacinthe | Behavioral Analyst | 254 Benson Ave, Elmont, NY 11003-2317 | 2020-11-01 |
| 1174123012 | Claudia Olivia Obrycki | Behavioral Analyst | 6065 69th Ln, Maspeth, NY 11378-2911 | 2020-10-29 |
| 1629678024 | Maria Constantinidis | Behavioral Analyst | 18938 46th Ave, Flushing, NY 11358-3417 | 2020-10-27 |
| 1346840592 | Lindsey Jane Zenk | Behavioral Analyst | 116 Bayview Ave, East Islip, NY 11730-3806 | 2020-10-27 |
| 1033718598 | Ashley Rose Brill | Behavioral Analyst | 25 Anthony Dr Apt D209, Poughkeepsie, NY 12601-5578 | 2020-10-25 |
| 1154920809 | Neeti Sharma | Behavioral Analyst | 56 Scenic Dr, Poughkeepsie, NY 12603-5530 | 2020-10-23 |
| 1962001701 | Precious S Reid | Behavioral Analyst | 135 W 50th St Bsmt A, New York, NY 10020-1201 | 2020-10-22 |
| 1821697194 | Abraham Weiss | Behavioral Analyst | 1531 50th St, Brooklyn, NY 11219-3794 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | WHITESTONE |
| Zip Code | 11357 |
Please comment or provide details below to improve the information on THERESA 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.