Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013623420 Individual Practitioner Male Practitioner

Peter Yarkpazuo Wallace

Behavior Technician • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Peter Wallace is a registered healthcare professional specializing in Behavior Technician in Columbus, OH. Practice services are available at 2438 KIMBERLY WOODS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2438 Kimberly Woods Dr

Columbus, OH 432324290

Telephone 6148443800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.7 Yrs
Regional Practice Density
898 Specialists

Practicing in Columbus, OH (7577 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: 2023-01-28
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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2615030 (OH)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kejuan Williams

Technician - Attendant Care Provider

NPI 1003381567
Charity Elmore , RN

Registered Nurse

NPI 1003491713

Registered Nurse

Brittany Reed

Case Manager/Care Coordinator

NPI 1003502220
Hafso Mohamed

Behavior Technician

NPI 1003524208
Ainsleigh Kemper

Behavior Technician

NPI 1003548314
Niah Lee

Case Manager/Care Coordinator

NPI 1003609496

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2023

Registered at 2438 KIMBERLY WOODS DR, COLUMBUS, OH 432324290 (Tel: 6148443800)

📍
Updated Business Mailing Address January 30, 2023

Registered at 2438 KIMBERLY WOODS DR, COLUMBUS, OH 432324290 (Tel: 6148443800)

👤
Provider Name / Credentials Updated January 30, 2023

Recorded as PETER WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2023

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 30, 2023

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: 1013623420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2023
Last Update: January 30, 2023
Sole Proprietor: Yes

Mailing Address

2438 Kimberly Woods Dr

Columbus, OH 432324290

Phone: 6148443800

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.