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

Kaelah Simone Wallace

Individual provider Behavior Technician · NPI 1043966773

Kaelah Simone Wallace is a Behavior Technician in Columbia, Maryland. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444
Phone: (888) 344-5977
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 number1043966773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address7090 Samuel Morse Dr Ste 100, Columbia, MD 21046-3444

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