Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex Nicole Wylie Wallace

Individual provider Behavior Technician · NPI 1669046223

Alex Nicole Wylie Wallace is a Behavior Technician in Norcross, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6151 Dove Field Ct
Norcross, GA 30092-1309
Phone: (770) 609-8777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1669046223
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

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