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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346911807

Sasha Wallace is a Student in an Organized Health Care Education/Training Program in Modesto, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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Practice location Address checks out

1700 McHenry Village Way Ste 11B
Modesto, CA 95350-4341
Phone: (209) 550-5850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1346911807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2021
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address1700 McHenry Village Way Ste 11b, Modesto, CA 95350-4341

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