What is Trevor Wallace's NPI number?

Trevor Wallace's National Provider Identifier (NPI) is 1104642099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Trevor Wallace's specialty?

Trevor Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Trevor Wallace located?

Trevor Wallace's practice location on file with NPPES is 1005 Wigwam Pkwy Apt 3204, Henderson, NV 89074-8250.

What is Trevor Wallace's phone number?

The practice phone number listed in the NPPES registry for Trevor Wallace is (321) 604-2742.

Is Trevor Wallace's NPI active?

Yes — Trevor Wallace's NPI (1104642099) is active in the NPPES registry as of the last update on 2024-11-25.

IndividualActive

Trevor Wallace

NPI 1104642099 · Behavior Technician · Henderson, NV

Trevor Wallace is a Behavior Technician provider in Henderson, NV (NPI 1104642099).

Provider details

NPI number: 1104642099
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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

1005 Wigwam Pkwy Apt 3204

Henderson, NV 89074-8250

Phone: (321) 604-2742

Street-level locationGet directions

More NV providers

Mailing address