Jessica Wallace
Jessica Wallace is a Behavior Technician in Staten Island, New York. Licensed in New Jersey. Registered with an NPI since 2025.
- Licensed in
- NJ
- In the registry since
- 2025
Practice location Address checks out
420 Oakland AveStaten Island, NY 10310-2133
Phone: (646) 633-3655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (NJ) |
|---|
Record details
| NPI number | 1568335214 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 29, 2025 |
| Last updated in NPPES | September 29, 2025 |
| Certification date | September 29, 2025 |
| Mailing address | 420 Oakland Ave, Staten Island, NY 10310-2133 |
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