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

Shanice Wallace, BEHAVIORTECHNICIAN

Individual provider Behavior Technician · NPI 1740999184

Shanice Wallace, BEHAVIORTECHNICIAN is a Behavior Technician in Kissimmee, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3831 W Vine St Ste 60
Kissimmee, FL 34741-4650
Phone: (866) 311-4617
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 number1740999184
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHAVIORTECHNICIAN
Sole proprietorNo
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

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