IndividualActive
Keiyonny Wallace
NPI 1376179945 · Behavior Technician · Plymouth, MI
Keiyonny Wallace is a Behavior Technician provider in Plymouth, MI (NPI 1376179945).
Provider details
- NPI number
- 1376179945
- 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(58/100 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
44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085
Phone: (313) 278-4601
Street-level locationGet directions
Mailing address
44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085
Registry dates
- Enumerated
- 2020-03-16
- Last updated
- 2020-03-16
- Certified
- 2020-03-16
Frequently asked questions
- What is Keiyonny Wallace's NPI number?
- Keiyonny Wallace's National Provider Identifier (NPI) is 1376179945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keiyonny Wallace's specialty?
- Keiyonny Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Keiyonny Wallace located?
- Keiyonny Wallace's practice location on file with NPPES is 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085.
- What is Keiyonny Wallace's phone number?
- The practice phone number listed in the NPPES registry for Keiyonny Wallace is (313) 278-4601.
- Is Keiyonny Wallace's NPI active?
- Yes — Keiyonny Wallace's NPI (1376179945) is active in the NPPES registry as of the last update on 2020-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.