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Samuel Wallace-Douglas
NPI 1679276257 · Behavior Technician · Menifee, CA
Samuel Wallace-Douglas is a Behavior Technician provider in Menifee, CA (NPI 1679276257).
Provider details
- NPI number
- 1679276257
- 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(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
27990 Sherman Rd
Menifee, CA 92585-9155
Phone: (951) 309-9135
Street-level locationGet directions
Mailing address
5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2023-03-23
- Certified
- 2023-03-23
Frequently asked questions
- What is Samuel Wallace-Douglas's NPI number?
- Samuel Wallace-Douglas's National Provider Identifier (NPI) is 1679276257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Wallace-Douglas's specialty?
- Samuel Wallace-Douglas is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samuel Wallace-Douglas located?
- Samuel Wallace-Douglas's practice location on file with NPPES is 27990 Sherman Rd, Menifee, CA 92585-9155.
- What is Samuel Wallace-Douglas's phone number?
- The practice phone number listed in the NPPES registry for Samuel Wallace-Douglas is (951) 309-9135.
- Is Samuel Wallace-Douglas's NPI active?
- Yes — Samuel Wallace-Douglas's NPI (1679276257) is active in the NPPES registry as of the last update on 2023-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.