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

Angel Wallace

Individual provider Behavior Technician · NPI 1033936034

Angel Wallace is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

13121 Atlantic Blvd Ste 200
Jacksonville, FL 32225-0102
Phone: (904) 416-8921
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-379337
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1033936034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102

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