Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAMILLE WALLACE, BCBA, LBA
ActiveCAMILLE WALLACE, BCBA, LBA is a Behavior Analyst healthcare provider located in SAN LEANDRO, California. NPI 1336639012 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · SAN LEANDRO, CA
Registration Details
- NPI Number
- 1336639012
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2018 (8.2129059047658 yrs)
- Last Updated
- Apr 5, 2025
- License
-
1-20-46247 (CA)
Practice Information
- Address
-
2104 MIRAMONTE AVE APT 9SAN LEANDRO, CA, 945781549Browse CA providers · Browse ZIP 94578
- Phone
- 5102988463
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in SAN LEANDRO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. WEIHE HUANG | PH.D., RH.D. | 1720394968 |
| EMILE MARTIN PALLEY | — | 1437457199 |
| MRS. PAMELA WAI YATA | BCBA | 1497019988 |
| HEIDI OKAMOTO | B.C.B.A. | 1962758318 |
| AMY MASLUK | — | 1093069247 |
| FITHAWI KUDUS | — | 1043608664 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.