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

Rachael Fuller Wallace

Individual provider Behavior Technician · NPI 1013552017

Rachael Fuller Wallace is a Behavior Technician in Newnan, Georgia. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

112 Jefferson Pkwy
Newnan, GA 30263-5885
Phone: (877) 288-4760
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 number1013552017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2019
Last updated in NPPESNovember 13, 2019
Mailing address140 N Davis Rd Apt 323, Lagrange, GA 30241-1608

Other providers in Newnan