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

Trevor Wallace

Individual provider Behavior Technician · NPI 1104642099

Trevor Wallace is a Behavior Technician in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2024.

Licensed in
NV
In the registry since
2024

Practice location Address checks out

1005 Wigwam Pkwy Apt 3204
Henderson, NV 89074-8250
Phone: (321) 604-2742
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NV)

Record details

NPI number1104642099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address1005 Wigwam Pkwy Apt 3204, Henderson, NV 89074-8250

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