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

Korie Lynn Wallace

Individual provider Behavior Technician · NPI 1770412108

Korie Lynn Wallace is a Behavior Technician in Corona, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

255 E Rincon St Ste 219
Corona, CA 92879-1387
Phone: (949) 688-2559
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1770412108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address255 E Rincon St Ste 219, Corona, CA 92879-1387

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