| Doctor Name: | MS. ANN ELIZABETH WALLACE |
| NPI Number: | 1063848778 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1023361 |
| Business Practice Address: | 10 Burkle St Oswego, NY - 131263259 |
| Business Phone Number: | 3153424600 |
| Business Fax Number: | |
| Mailing Address: | 31 E 10th St, OSWEGO |
| State: | NY |
| Postal Code: | 131261204 |
| Phone Number: | 9142601680 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2013 |
| NPI Last Update Date: | 09/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103K00000X |
| License Number: | 1023361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Behavioral Analyst |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. |