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

Jessica Wallace

Individual provider Behavior Technician · NPI 1306483359

Jessica Wallace is a Behavior Technician in Las Vegas, Nevada. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3130 S Durango Dr Ste 425
Las Vegas, NV 89117-4455
Phone: (702) 672-6823
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 number1306483359
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2019
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing address3130 S Durango Dr Ste 425, Las Vegas, NV 89117-4455

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