SearchCaliforniaBehavior Analyst

Jasen Wallace, BCBA

NPI 1982182705 · on the registry since 2018

Practice

Address
3437 Dormer Ave
Concord, CA 94519
Phone
(415) 989-5000

Additional practice sites

  • 3000 El Camino Real Bldg 4, Palo Alto, CA

Registry record

Primary taxonomy
Behavior Analyst
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-10

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