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

Mackenzie Wallace

Individual provider Behavior Analyst · NPI 1225594898

Mackenzie Wallace is a Behavior Analyst in Conroe, Texas. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

1932 Briar Grove Dr
Conroe, TX 77301-2052
Phone: (562) 825-7025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-41389 (CA)

Record details

NPI number1225594898
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2019
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address1932 Briar Grove Dr, Conroe, TX 77301-2052

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