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

Katrina Lavette Wallace

Individual provider Other Technician · NPI 1558810333

Katrina Lavette Wallace is an Other Technician in Farmington Hills, Michigan. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334
Phone: (248) 299-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2938 Epsilon Trl, Flint, MI 48506-1836 — (931) 218-4238

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1558810333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESAugust 9, 2019

Other providers in Farmington Hills