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Randall Wallace
NPI 1801735790 · Behavior Technician · Traverse City, MI
Randall Wallace is a Behavior Technician provider in Traverse City, MI (NPI 1801735790).
Provider details
- NPI number
- 1801735790
- 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
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
10781 E Cherry Bend Rd
Traverse City, MI 49684-5249
Phone: (231) 492-8420
Street-level locationGet directions
Mailing address
2435 Slocum Rd
Kingsley, MI 49649-9691
Registry dates
- Enumerated
- 2026-03-26
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Randall Wallace's NPI number?
- Randall Wallace's National Provider Identifier (NPI) is 1801735790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Wallace's specialty?
- Randall Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Randall Wallace located?
- Randall Wallace's practice location on file with NPPES is 10781 E Cherry Bend Rd, Traverse City, MI 49684-5249.
- What is Randall Wallace's phone number?
- The practice phone number listed in the NPPES registry for Randall Wallace is (231) 492-8420.
- Is Randall Wallace's NPI active?
- Yes — Randall Wallace's NPI (1801735790) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.