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

Samantha Cooper Wallace

Individual provider Behavior Technician · NPI 1790457158

Samantha Cooper Wallace is a Behavior Technician in Bedford, Massachusetts. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

205 Burlington Rd
Bedford, MA 01730-1406
Phone: (781) 761-5089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1790457158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address205 Burlington Rd, Bedford, MA 01730-1406

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