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

Individual provider Behavior Analyst · NPI 1497096333

Theresa Wallace, MSED is a Behavior Analyst in Whitestone, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

147-26 18th Ave
Whitestone, NY 11357-3108
Phone: (917) 613-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (NY)

Record details

NPI number1497096333
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedMarch 1, 2013
Last updated in NPPESJuly 21, 2022

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