SearchCalifornia103K00000X

Camille Wallace, BCBA, LBA

NPI 1336639012 · on the registry since 2018

Practice

Address
2104 Miramonte Ave Apt 9
San Leandro, CA 94578
Phone
(510) 298-8463

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California