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

Talesa Wallace

Individual provider Behavior Technician · NPI 1073499802

Talesa Wallace is a Behavior Technician in West Park, Florida. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

3832 SW 33rd Ct
West Park, FL 33023-5631
Phone: (954) 947-5061
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-24-391137 (GA)

Record details

NPI number1073499802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address1250 Powder Springs St Apt 101, Marietta, GA 30064-5202

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