JACY SHEA WALLACE - NPI 1285384776 - Behavior Analyst in Chandler, AZ

Q: What is Jacy Wallace's NPI number?

The NPI number for Jacy Wallace is 1285384776. It was assigned to this individual provider in the NPPES registry on March 27, 2022.

Q: What is Jacy Wallace's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacy Wallace was last updated on September 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacy Shea Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACY SHEA WALLACE (NPI 1285384776) is an individual behavior analyst provider in Chandler, Arizona, licensed in Arizona (BEH-001284) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1285384776

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJACY SHEA WALLACE

Location Address3910 S ALMA SCHOOL RDChandler, AZ 85248-4498

Mailing Address10251 N 35th AvePhoenix, AZ 85051-1305 · (602) 926-7200

Phone(602) 926-7200

Sole ProprietorNo

Enumeration DateMarch 27, 2022

Last NPPES UpdateSeptember 19, 2023

NPPES CertifiedSeptember 19, 2023

✔ NPI 1285384776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in AZ · BEH-001284

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

3910 S ALMA SCHOOL RD, Chandler, AZ 85248

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLA VICTORIA WINCHELL

Behavior Technician