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

Faith Wallace

Individual provider Behavior Technician · NPI 1194687343

Faith Wallace is a Behavior Technician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

600 3 Mile Rd NW
Grand Rapids, MI 49544-1685
Phone: (616) 469-3870
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1194687343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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