Desean Wallace

NPI 1689483182 · on the registry since 2024 · sole proprietor

Practice

Address: 6383 10th Ave N Ste E
Greenacres, FL 33463
Phone: (561) 429-5794
Organisation at this address: West Palm Medical Spa
Active Support Behavior Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-02-17

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