Active NPI 1760904817 Individual Practitioner Female Practitioner

Kiblena Wallace , BCBA

Behavior Analyst • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Kiblena Wallace, BCBA is a registered healthcare professional specializing in Behavior Analyst in Lakeland, FL. Practice services are available at 5131 S FLORIDA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5131 S Florida Ave

Lakeland, FL 338132514

Telephone 8135864244

Associated Practice Facility / Clinic

🏢 Body And Soul Massage And Wellness Center Facility NPI 1033374665

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lakeland, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

111 Specialists

Practicing in Lakeland, FL (13679 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-20

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Bethany Wientge

Behavior Technician

NPI 1184247835

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location May 11, 2020

Registered at 5131 S FLORIDA AVE, LAKELAND, FL 338132514 (Tel: 8135163708)

📍

Updated Business Mailing Address May 11, 2020

Registered at 711 PARSONS POINTE ST, SEFFNER, FL 335847804

👤

Provider Name / Credentials Updated May 11, 2020

Recorded as KIBLENA WALLACE, BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2020

Behavior Analyst

✅

NPI Profile Active July 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2017

Registered at 2701 UNIVERSITY SQUARE DR FL 33612, TAMPA, FL 336125513 (Tel: 8139810815)

📍

Updated Business Mailing Address July 11, 2017

Registered at 2701 UNIVERSITY SQUARE DR FL 33612, TAMPA, FL 336125513 (Tel: 8139810815)

👤

Provider Name / Credentials Updated July 11, 2017

Recorded as KIBLENA WALLACE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2017

Behavior Technician

🟢

Initial NPI Registration & Enumeration July 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760904817

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 11, 2017

Last Update: July 20, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

711 Parsons Pointe St

Seffner, FL 335847804

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.