IndividualActive
Johntavia Wallace
NPI 1821726704 · Behavior Technician · Brandon, FL
Johntavia Wallace is a Behavior Technician provider in Brandon, FL (NPI 1821726704).
Provider details
- NPI number
- 1821726704
- 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(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES 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
220 Grand Regency Blvd
Brandon, FL 33510-3935
Phone: (813) 709-7989
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2022-08-10
- Certified
- 2022-08-10
Frequently asked questions
- What is Johntavia Wallace's NPI number?
- Johntavia Wallace's National Provider Identifier (NPI) is 1821726704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johntavia Wallace's specialty?
- Johntavia Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Johntavia Wallace located?
- Johntavia Wallace's practice location on file with NPPES is 220 Grand Regency Blvd, Brandon, FL 33510-3935.
- What is Johntavia Wallace's phone number?
- The practice phone number listed in the NPPES registry for Johntavia Wallace is (813) 709-7989.
- Is Johntavia Wallace's NPI active?
- Yes — Johntavia Wallace's NPI (1821726704) is active in the NPPES registry as of the last update on 2022-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.