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

Angel Diane Wallace

Individual provider Day Training/Habilitation Specialist · NPI 1053144378

Angel Diane Wallace is a Day Training/Habilitation Specialist in Kent, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

366 Suzanne Dr
Kent, OH 44240-1932
Phone: (270) 784-0144
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X

Record details

NPI number1053144378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024