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

Reuven Wallack

Individual provider Behavior Technician · NPI 1760191191

Reuven Wallack is a Behavior Technician in Deerfield Beach, Florida. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone: (877) 418-2978
Fax: (866) 500-2186
Show map & directions

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

Additional practice locations (1)

  • 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 — (877) 418-2978

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NC)

Record details

NPI number1760191191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2022
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834

Other providers in Deerfield Beach