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

Liza Joy Wallace

Individual provider Behavior Technician · NPI 1710547815

Liza Joy Wallace is a Behavior Technician in Riverbank, California. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (209) 521-4791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 — (209) 521-4791

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1710547815
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESJune 19, 2019
Mailing address3537 Allan Adale Ct, Modesto, CA 95355-8200

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