IndividualActive
Rachael Wallace
NPI 1013552017 · Behavior Technician · Newnan, GA
Provider details
- NPI number
- 1013552017
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 Jefferson Pkwy
Newnan, GA 30263-5885
Phone: (877) 288-4760
Street-level locationGet directions
Mailing address
140 N Davis Rd Apt 323
Lagrange, GA 30241-1608
Registry dates
- Enumerated
- 2019-11-13
- Last updated
- 2019-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.