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

Raisa Lepa Wallace

Individual provider Behavior Technician · NPI 1689521742

Raisa Lepa Wallace is a Behavior Technician in Mansfield, Ohio. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1033 Larchwood Rd
Mansfield, OH 44907-2424
Phone: (419) 747-4122
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 number1689521742
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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