Search › Florida › Behavior Technician
Tyler Wallace
NPI 1639747579 · on the registry since 2021
Practice
- Address
- 247 Sw Port St Lucie Blvd
Port Saint Lucie, FL 34984 - Phone
- (772) 207-1356
- Fax
- (772) 742-2924
- Clinicians at this address
- 56
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Male
- Record last updated
- 2021-06-16
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida