KAYLA WALLACE BCBA - NPI 1568965671 - Behavior Analyst in Campbell, CA

Q: What is Kayla Wallace's NPI number?

The NPI number for Kayla Wallace is 1568965671. It was assigned to this individual provider in the NPPES registry on March 15, 2018. The provider is also known as Kayla Marie Fladger Rbt.

Q: What is Kayla 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 Kayla Wallace was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kayla Wallace Bcba NPPES

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

KAYLA WALLACE BCBA (NPI 1568965671) is an individual behavior analyst provider in Campbell, California, licensed in (1-21-54042) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1568965671

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKAYLA WALLACECredential: BCBA

Location Address1500 E HAMILTON AVE STE 105Campbell, CA 95008-0834

Mailing Address1500 E Hamilton Ave Ste 105Campbell, CA 95008-0834 · (831) 234-8537

Phone(831) 234-8537

Sole ProprietorNo

Enumeration DateMarch 15, 2018

Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2022

✔ NPI 1568965671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed · 1-21-54042

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

1500 E HAMILTON AVE STE 105, Campbell, CA 95008

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Other Names 1

Former Name (1)Kayla Marie Fladger Rbt

Other Providers at the Same Location NPPES 20

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

VINCENT TRAN

Behavior Technician