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

Individual provider Behavior Analyst · NPI 1760904817

Kiblena Wallace, BCBA is a Behavior Analyst in Lakeland, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

5131 S Florida Ave
Lakeland, FL 33813-2514
Phone: (813) 586-4244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1760904817
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedJuly 11, 2017
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020
Mailing address711 Parsons Pointe St, Seffner, FL 33584-7804

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