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

Sergio Wallace

Individual provider Behavior Technician · NPI 1720525728

Sergio Wallace is a Behavior Technician in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

8201 Canterbury Lake Blvd
Tampa, FL 33619-6671
Phone: (727) 657-8299
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 number1720525728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 27, 2017
Last updated in NPPESJanuary 27, 2017
Mailing address8201 Canterbury Lake Blvd, Tampa, FL 33619-6671

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