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

Individual provider Behavior Analyst · NPI 1225431190

Theodore Wallace Jr. is a Behavior Analyst in Reading, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
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Practice location Address checks out

66 Rockhaven Ct
Reading, PA 19606
Phone: (215) 399-8996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BH0001046 (PA)

Record details

NPI number1225431190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2014
Last updated in NPPESOctober 6, 2014
Mailing address66 Rockhaven Court, Reading, PA 19606

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