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

Takia Wallace

Individual provider Behavior Technician · NPI 1780342089

Takia Wallace is a Behavior Technician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

101 Rossmore Pl
Augusta, GA 30909-5771
Phone: (706) 842-5330
Fax: (706) 842-5340
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-195151 (GA)

Record details

NPI number1780342089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2021
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address3736 Executive Center Dr, Augusta, GA 30907-2360

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