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

Mackinze C Wallace, CBT

Individual provider Behavior Technician · NPI 1154182376

Mackinze C Wallace, CBT is a Behavior Technician in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

1720 N Hamilton St
Spokane, WA 99207-2474
Phone: (360) 246-4253
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence CB61483717 (WA)

Record details

NPI number1154182376
Entity typeIndividual (Type 1)
GenderFemale
Credentials CBT
Sole proprietorNo
NPI enumeratedJanuary 16, 2024
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address1421 W 8th Ave Apt 6, Spokane, WA 99204-3344

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