NPI 1881556561

Angenett Wallace, RBT

Practitioner Behavior Technician Richton Park, IL

Practice location

Address: 4559 Heartland Dr, Richton Park, IL 60471-2413
Phone: (708) 762-2907

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Illinois →

Registry record

NPI: 1881556561
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2025
Record last updated: 1 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.