IndividualActive
Liza Wallace
NPI 1710547815 · Behavior Technician · Riverbank, CA
Liza Wallace is a Behavior Technician provider in Riverbank, CA (NPI 1710547815).
Provider details
- NPI number
- 1710547815
- 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(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (209) 521-4791
Street-level locationGet directions
Mailing address
3537 Allan Adale Ct
Modesto, CA 95355-8200
Additional practice locations (1)
- 3425 Coffee Rd Ste C2Modesto, CA 95355-1582Phone: (209) 521-4791
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2019-06-19
Frequently asked questions
- What is Liza Wallace's NPI number?
- Liza Wallace's National Provider Identifier (NPI) is 1710547815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Liza Wallace's specialty?
- Liza Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Liza Wallace located?
- Liza Wallace's practice location on file with NPPES is 5501 Antique Rose Way, Riverbank, CA 95367-9505.
- What is Liza Wallace's phone number?
- The practice phone number listed in the NPPES registry for Liza Wallace is (209) 521-4791.
- Is Liza Wallace's NPI active?
- Yes — Liza Wallace's NPI (1710547815) is active in the NPPES registry as of the last update on 2019-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.