IndividualActive
Jaynel Wallace
NPI 1710682471 · Behavior Technician · San Antonio, TX
Provider details
- NPI number
- 1710682471
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-23-265270 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4143 Gardendale St
San Antonio, TX 78229-3129
Phone: (210) 319-9807
Approximate (ZIP-level) locationGet directions
Mailing address
6802 Utsa Blvd
San Antonio, TX 78249-1543
Registry dates
- Enumerated
- 2023-04-03
- Last updated
- 2023-04-03
- Certified
- 2023-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.