IndividualActive
Talesa Wallace
NPI 1073499802 · Behavior Technician · West Park, FL
Talesa Wallace is a Behavior Technician provider in West Park, FL (NPI 1073499802).
Provider details
- NPI number
- 1073499802
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-24-391137 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% 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
3832 Sw 33rd Ct
West Park, FL 33023-5631
Phone: (954) 947-5061
Street-level locationGet directions
Mailing address
1250 Powder Springs St Apt 101
Marietta, GA 30064-5202
Registry dates
- Enumerated
- 2025-08-15
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Talesa Wallace's NPI number?
- Talesa Wallace's National Provider Identifier (NPI) is 1073499802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Talesa Wallace's specialty?
- Talesa Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Talesa Wallace located?
- Talesa Wallace's practice location on file with NPPES is 3832 Sw 33rd Ct, West Park, FL 33023-5631.
- What is Talesa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Talesa Wallace is (954) 947-5061.
- Is Talesa Wallace's NPI active?
- Yes — Talesa Wallace's NPI (1073499802) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.