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

Shayla Wallace

Individual provider Behavior Technician · NPI 1104634898

Shayla Wallace is a Behavior Technician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone: (877) 418-2978
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (VA)

Record details

NPI number1104634898
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834

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