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Active NPI 1881556561 Individual Practitioner Female Practitioner

Angenett Wallace , RBT

Behavior Technician • Richton Park, IL

Professional Overview & Biography Verified Profile Summary

Angenett Wallace, RBT is a registered healthcare professional specializing in Behavior Technician in Richton Park, IL. Practice services are available at 4559 HEARTLAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4559 Heartland Dr

Richton Park, IL 604712413

Telephone 7087622907

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Richton Park, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Richton Park, IL (9375 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: 2025-12-01
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Sierra Newell

Behavior Technician

NPI 1043193923
Makaylah Diaz

Behavior Technician

NPI 1083590095
Daquan Bennett

Behavior Technician

NPI 1104709047
Keontae Arrington

Behavior Technician

NPI 1144190752
Lexus Franklin

Behavior Technician

NPI 1265315816
Tiara Taylor

Behavior Technician

NPI 1265315840

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 01, 2025

NPI status registered as active in NPPES database

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Updated Practice Location December 01, 2025

Registered at 4559 HEARTLAND DR, RICHTON PARK, IL 604712413 (Tel: 7087622907)

📍
Updated Business Mailing Address December 01, 2025

Registered at 4559 HEARTLAND DR, RICHTON PARK, IL 604712413 (Tel: 7087622907)

👤
Provider Name / Credentials Updated December 01, 2025

Recorded as ANGENETT WALLACE, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881556561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2025
Last Update: December 01, 2025
Sole Proprietor: Yes

Mailing Address

4559 Heartland Dr

Richton Park, IL 604712413

Phone: 7087622907

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.