Latoya Wallace

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-23-307352 Issued in TX

Practice address

1730 Williams Trace Blvd Ste H
Sugar Land, TX 77478-4055

Phone

(281) 978-6056

NPI assigned

Nov 13, 2023

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Knight Therapies,LLC

  • Behavior Analyst
  • Sugar Land, TX
  • NPI 1295319150
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1255105987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 LAKE RIDGE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774698509",
            "telephone_number": "346-538-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WILLIAMS TRACE BLVD STE H",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784055",
            "telephone_number": "281-978-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "LATOYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "RBT-23-307352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #1157)
• Madelaine Nicole Walker, DO
• Pamela C Walker, OTR
• Taloya Walker, CCC-SLP
• Deanna Elena Wallace, PA-C
• Luciana Wallenstein
• Alicia Regina Walls, M.D.
• Wiley Walls, OD
• Brian Walter, D.O.
• Mable Wambugu

• Behavior Analyst in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.