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IndividualActive

Mr. Benjamin Z Wallace

Behavior Technician

NPI: 1205691847Fairview Heights, Illinois, 62208(903) 721-0145Male

About Mr. Benjamin Z Wallace

Mr. Benjamin Z Wallace is a male healthcare professional specializing in Behavior Technician, registered under National Provider Identifier (NPI) number 1205691847. Their primary practice is located at 9106 WEDGEWOOD DR, Fairview Heights, Illinois 62208.

Patients can reach the office at (903) 721-0145. Mr. Benjamin Z Wallace has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number
1205691847
Entity Type
Individual
First Name
Benjamin
Last Name
Wallace
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
9106 WEDGEWOOD DR
City
Fairview Heights
State
Illinois
ZIP
62208-1047
Country
United States
Phone
(903) 721-0145

Specialty & Taxonomy

Primary Specialty
Behavior Technician
Classification
Behavior Technician
Taxonomy Code
106S00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
9106 WEDGEWOOD DR
City
FAIRVIEW HEIGHTS
State
IL
ZIP
622081047

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Mr. Benjamin Z Wallace's NPI number?
Mr. Benjamin Z Wallace's National Provider Identifier (NPI) is 1205691847. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Benjamin Z Wallace specialize in?
Mr. Benjamin Z Wallace specializes in Behavior Technician.
Where is Mr. Benjamin Z Wallace located?
Mr. Benjamin Z Wallace practices at 9106 WEDGEWOOD DR, Fairview Heights, Illinois 62208. You can reach them by phone at (903) 721-0145.
Does Mr. Benjamin Z Wallace accept Medicare?
Based on available data, Mr. Benjamin Z Wallace is not currently enrolled in the Medicare program.
Does Mr. Benjamin Z Wallace offer telehealth or virtual visits?
Mr. Benjamin Z Wallace does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Benjamin Z Wallace is 1205691847.