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

Antoine Wallace

Individual provider Behavior Technician · NPI 1407367162

Antoine Wallace is a Behavior Technician in Columbia, Maryland. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

6355 Woodside Ct
Columbia, MD 21046-1071
Phone: (410) 381-7171
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 number1407367162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2017
Last updated in NPPESOctober 20, 2017
Mailing address6355 Woodside Ct, Columbia, MD 21046-1071

Other providers in Columbia