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

Mikayla Renee Wallace

Individual provider Behavior Technician · NPI 1679369862

Mikayla Renee Wallace is a Behavior Technician in Indianapolis, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9905 Fall Creek Rd
Indianapolis, IN 46256-4804
Phone: (317) 813-4690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1679369862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address1815 D St, Anderson, IN 46016-2145

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