# SADIE NOELLE WALLACE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538657051
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | L-494 | LA | Yes |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2018
- **Last updated:** 03/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1-20-43732 | NATIONAL BOARD ANALYST BOARD CERTIFICATION | — |
| 01 | — | L-494 | STATE LICENSE FOR BEHAVIOR ANALYST | LA |