IndividualActive
Raisa Wallace
NPI 1689521742 · Behavior Technician · Mansfield, OH
Raisa Wallace is a Behavior Technician provider in Mansfield, OH (NPI 1689521742).
Provider details
- NPI number
- 1689521742
- 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
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1033 Larchwood Rd
Mansfield, OH 44907-2424
Phone: (419) 747-4122
Street-level locationGet directions
Mailing address
120 W Main St
Shelby, OH 44875-1411
Registry dates
- Enumerated
- 2026-03-16
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Frequently asked questions
- What is Raisa Wallace's NPI number?
- Raisa Wallace's National Provider Identifier (NPI) is 1689521742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raisa Wallace's specialty?
- Raisa Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Raisa Wallace located?
- Raisa Wallace's practice location on file with NPPES is 1033 Larchwood Rd, Mansfield, OH 44907-2424.
- What is Raisa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Raisa Wallace is (419) 747-4122.
- Is Raisa Wallace's NPI active?
- Yes — Raisa Wallace's NPI (1689521742) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.