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

Individual provider Behavior Technician · NPI 1881556561

Angenett Wallace, RBT is a Behavior Technician in Richton Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

4559 Heartland Dr
Richton Park, IL 60471-2413
Phone: (708) 762-2907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (IL)

Record details

NPI number1881556561
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorYes
NPI enumeratedDecember 1, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

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