IndividualActive
Abigail Wallace
NPI 1053084962 · Behavior Technician · Irwin, PA
Provider details
- NPI number
- 1053084962
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1015 Pennsylvania Ave
Irwin, PA 15642-3737
Phone: (866) 287-2036
Approximate (ZIP-level) locationGet directions
Mailing address
1015 Pennsylvania Ave
Irwin, PA 15642-3737
Registry dates
- Enumerated
- 2021-07-27
- Last updated
- 2021-07-27
- Certified
- 2021-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.