Shannon Wallace, BCBA

NPI 1730328840 · on the registry since 2009

Practice

Address: 3954 Murphy Canyon Rd
Suite D105
San Diego, CA 92123
Phone: (858) 569-0056
Fax: (858) 569-4233
Organisation at this address: Responsive Medical Services, Llc
Sacred Psychiatric Nursing Services Inc
Sacred Psychiatric Nursing Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

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: 2013-03-08

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