IndividualActive
Dagny Wallace
NPI 1134099518 · Behavior Technician · Fayetteville, TN
Provider details
- NPI number
- 1134099518
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2270 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334-3669
Phone: (615) 669-6397
Fax: (615) 992-3933
Approximate (ZIP-level) locationGet directions
Mailing address
2270 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334-3669
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.