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

Keiyonny Wallace

Individual provider Behavior Technician · NPI 1376179945

Keiyonny Wallace is a Behavior Technician in Plymouth, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085
Phone: (313) 278-4601
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 number1376179945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2020
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020
Mailing address44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085

Other providers in Plymouth