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

Issis Wallace

Individual provider Behavior Technician · NPI 1306604319

Issis Wallace is a Behavior Technician in Eastpointe, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

22851 Lexington Ave
Eastpointe, MI 48021-1990
Phone: (586) 218-8570
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 number1306604319
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address22851 Lexington Ave, Eastpointe, MI 48021-1990

Other providers in Eastpointe