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

Mrs. Minnie Wallace

Individual provider Behavior Technician · NPI 1972445161

Mrs. Minnie Wallace is a Behavior Technician in Atlanta, Georgia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4920 Roswell Rd Ste 1
Atlanta, GA 30342-2684
Phone: (470) 258-4050
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1972445161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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