SADIE NOELLE WALLACE NPI 1538657051

NPI Information

NPI: 1538657051
Provider Name: SADIE NOELLE WALLACE
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address: 4440 VIKING DR STE 400
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 588-8908

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NPI Details

Sadie Noelle Wallace is a behavior analyst in Bossier City, LA. The provider is 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. Sadie Noelle Wallace NPI is 1538657051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4440 VIKING DR STE 400
BOSSIER CITY, LA
ZIP 71111-511
Phone: (318) 588-8908
Fax: (318) 588-8909

The enumeration date for this NPI number is 4/30/2018 and was last updated on 3/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		L-494	LOUISIANA	Yes
2	106E00000X	Assistant Behavior Analyst				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	L-494	OTHER	LOUISIANA	STATE LICENSE FOR BEHAVIOR ANALYST
2	1-20-43732	OTHER		NATIONAL BOARD ANALYST BOARD CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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