IndividualActive
Tyler Wallace
NPI 1639747579 · Behavior Technician · Port Saint Lucie, FL
Tyler Wallace is a Behavior Technician provider in Port Saint Lucie, FL (NPI 1639747579).
Provider details
- NPI number
- 1639747579
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
247 Sw Port St Lucie Blvd
Port Saint Lucie, FL 34984-5015
Phone: (772) 207-1356
Fax: (772) 742-2924
Street-level locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-3625
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
- Certified
- 2021-06-16
Frequently asked questions
- What is Tyler Wallace's NPI number?
- Tyler Wallace's National Provider Identifier (NPI) is 1639747579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Wallace's specialty?
- Tyler Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tyler Wallace located?
- Tyler Wallace's practice location on file with NPPES is 247 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34984-5015.
- What is Tyler Wallace's phone number?
- The practice phone number listed in the NPPES registry for Tyler Wallace is (772) 207-1356.
- Is Tyler Wallace's NPI active?
- Yes — Tyler Wallace's NPI (1639747579) is active in the NPPES registry as of the last update on 2021-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.