IndividualActive
Takia Wallace
NPI 1780342089 · Behavior Technician · Augusta, GA
Takia Wallace is a Behavior Technician provider in Augusta, GA (NPI 1780342089).
Provider details
- NPI number
- 1780342089
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-21-195151 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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
101 Rossmore Pl
Augusta, GA 30909-5771
Phone: (706) 842-5330
Fax: (706) 842-5340
Street-level locationGet directions
Mailing address
3736 Executive Center Dr
Augusta, GA 30907-2360
Registry dates
- Enumerated
- 2021-12-03
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Frequently asked questions
- What is Takia Wallace's NPI number?
- Takia Wallace's National Provider Identifier (NPI) is 1780342089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Takia Wallace's specialty?
- Takia Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Takia Wallace located?
- Takia Wallace's practice location on file with NPPES is 101 Rossmore Pl, Augusta, GA 30909-5771.
- What is Takia Wallace's phone number?
- The practice phone number listed in the NPPES registry for Takia Wallace is (706) 842-5330.
- Is Takia Wallace's NPI active?
- Yes — Takia Wallace's NPI (1780342089) is active in the NPPES registry as of the last update on 2021-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.