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

Chasity Wallace

Individual provider Behavior Technician · NPI 1619737582

Chasity Wallace is a Behavior Technician in Atlanta, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

633 Brennan Ln SW
Atlanta, GA 30310-2202
Phone: (404) 441-9768
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 number1619737582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address633 Brennan Ln Sw, Atlanta, GA 30310-2202

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