Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON D WALLACE, BCBA
Active Sole ProprietorMR. JASON D WALLACE, BCBA is a Behavior Analyst healthcare provider located in OLDSMAR, Florida. NPI 1679713754 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · OLDSMAR, FL
Registration Details
- NPI Number
- 1679713754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2009 (17.416676709202 yrs)
- Last Updated
- Mar 2, 2009
- License
-
1-04-1845 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 SHOREVIEW LNOLDSMAR, FL, 346774106Browse FL providers · Browse ZIP 34677
- Phone
- 8135469867
- Fax
- 8138180510
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in OLDSMAR, FL
| Name | Credential | NPI |
|---|---|---|
| MECHY F WRIGHT | MA, BCBA | 1629382460 |
| STEPHANIE DAWN JOHNSTON | MA, BCBA | 1942516281 |
| MR. ANDREW HARTRANFT | — | 1013388149 |
| MR. MATTHEW YASOVA-ZAFFOS | BCBA | 1245682814 |
| YANINE ALMANZA BARRIAL | — | 1336787688 |
| GEORGE DELGADO | DR. | 1871123158 |
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.