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

Amy Wallace

Individual provider Behavior Technician · NPI 1184597999

Amy Wallace is a Behavior Technician in Chantilly, Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4530 Walney Rd Ste 105
Chantilly, VA 20151-2285
Phone: (619) 818-1807
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 number1184597999
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address2330 Dulles Station Blvd Apt 2229, Herndon, VA 20171-6196

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