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

Joshua Wallace

Individual provider Behavior Technician · NPI 1124857404

Joshua Wallace is a Behavior Technician in Stockton, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2453 Grand Canal Blvd Ste A
Stockton, CA 95207-8138
Phone: (855) 223-7123
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Peer Specialist Taxonomy 175T00000X · Licence MPSS-QTPCEG (CA)

Record details

NPI number1124857404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2024
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

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