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

Brenda Lanette Wallace

Individual provider Behavior Technician · NPI 1053111971

Brenda Lanette Wallace is a Behavior Technician in Parker, Colorado. Licensed in Colorado. Registered with an NPI since 2025.

Licensed in
CO
In the registry since
2025

Practice location Address checks out

19585 Hess Rd Unit 106
Parker, CO 80134-3892
Phone: (720) 673-9132
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 171948282 (CO)

Record details

NPI number1053111971
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address2405 Palmer Cir Ste 100, Norman, OK 73069-6351

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