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

Crystalshae Leann Wallace

Individual provider Behavior Technician · NPI 1548768781

Crystalshae Leann Wallace is a Behavior Technician in Mansfield, Ohio. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1033 Larchwood Rd
Mansfield, OH 44907-2424
Phone: (419) 747-4122
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 number1548768781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESJanuary 23, 2018
Mailing address39 4th St, Shelby, OH 44875-1303

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