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

Individual provider Behavior Analyst · NPI 1851987523

Macie Wallace, BCBA is a Behavior Analyst in Mishawaka, Indiana. Registered with an NPI since 2020.

In the registry since
2020
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

525 Park Place Cir
Mishawaka, IN 46545-3511
Phone: (574) 387-4313
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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 number1851987523
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedDecember 17, 2020
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020
Mailing address1824 Touby Pike Ste B, Kokomo, IN 46901-2573

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