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Active NPI 1063848778 Individual Practitioner Female Practitioner

Ann Elizabeth Wallace

Behavior Analyst • Oswego, NY

Professional Overview & Biography Verified Profile Summary

Ann Wallace is a registered healthcare professional specializing in Behavior Analyst in Oswego, NY. Practice services are available at 10 BURKLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10 Burkle St

Oswego, NY 131263259

Telephone 3153424600

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Oswego, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Oswego, NY (5252 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NY 1023361

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

23 Associated Practitioners
Lida Buniak , MASTER OF SCIENCE

Psychologist - School

NPI 1003390881

MASTEROFSCIENCE

Ashley Jansson

Specialist

NPI 1013253087
Juliet Abendroth , MA CCC-SLP

Speech-Language Pathologist

NPI 1053544007

MACCCSLP

Anna Rosbrook , MSPT

Physical Therapist - Pediatrics

NPI 1164668117

Master of Science in Physical Therapy

NPI 1174950745
Megan Cwirko

Physical Therapist

NPI 1205261278

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2013

Registered at 10 BURKLE ST, OSWEGO, NY 131263259 (Tel: 3153424600)

📍
Updated Business Mailing Address September 25, 2013

Registered at 31 E 10TH ST, OSWEGO, NY 131261204 (Tel: 9142601680)

👤
Provider Name / Credentials Updated September 25, 2013

Recorded as ANN WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2013

Behavior Analyst (License #1023361 in NY)

🟢
Initial NPI Registration & Enumeration September 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063848778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2013
Last Update: September 25, 2013
Sole Proprietor: No

Mailing Address

31 E 10th St

Oswego, NY 131261204

Phone: 9142601680

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.