Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theodore Wallace Jr.

Individual provider Behavior Analyst · NPI 1225431190

Theodore Wallace Jr. is a Behavior Analyst in Reading, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
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Practice location Address checks out

66 Rockhaven Ct
Reading, PA 19606
Phone: (215) 399-8996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BH0001046 (PA)

Record details

NPI number1225431190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2014
Last updated in NPPESOctober 6, 2014

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