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

Mrs. Yideira Wallace, RBT

Individual provider Behavior Technician · NPI 1073264289

Mrs. Yideira Wallace, RBT is a Behavior Technician in North Port, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

4584 Flint Dr
North Port, FL 34286-6604
Phone: (786) 570-3643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-195063 (FL)

Record details

NPI number1073264289
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorYes
NPI enumeratedJanuary 10, 2022
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022

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