SHANNON D WALLACE BCBA
NPI 1730328840
Behavior Analyst in San Diego, CA

Q: What is Shannon Wallace's NPI number?

The NPI number for Shannon Wallace is 1730328840. It was assigned to this individual provider in the NPPES registry on February 12, 2009.

Q: What is Shannon 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 Shannon Wallace was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2009

3954 MURPHY CANYON RD, SUITE D105, SAN DIEGO, CA 92123(858) 569-0056(858) 569-4233 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shannon D Wallace Bcba NPPES

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

SHANNON D WALLACE BCBA (NPI 1730328840) is an individual behavior analyst provider in San Diego, California, licensed in California (1-08-4562) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1730328840

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSHANNON D WALLACECredential: BCBA

Location Address3954 MURPHY CANYON RD, SUITE D105San Diego, CA 92123-4418

Mailing Address3954 Murphy Canyon Rd, Suite D105San Diego, CA 92123-4418 · (858) 569-0056 · Fax (858) 569-4233

Phone(858) 569-0056

Fax(858) 569-4233

Sole ProprietorNo

Enumeration DateFebruary 12, 2009

Last NPPES UpdateMarch 8, 2013

✔ NPI 1730328840 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 CA · 1-08-4562

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.

3954 MURPHY CANYON RD, San Diego, CA 92123

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Other Identifiers 2

Other26-0717497Federal Tax Id Number (ein)

Other1003073156Aefct Company Npi#

Other Providers at the Same Location NPPES 6

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

JOAN SHIN

Behavior Analyst

3954 MURPHY CANYON RD
SAN DIEGO, CA 92123

San Diego County (858) 225-9020

RESPONSIVE MEDICAL SERVICES, LLC

Non-emergency Medical Transport (VAN)

3954 MURPHY CANYON RD
SAN DIEGO, CA 92123

San Diego County (951) 508-8861

SACRED PSYCHIATRIC NURSING SERVICES INC

Nurse Practitioner (Psychiatric/Mental Health)

3954 MURPHY CANYON RD
SAN DIEGO, CA 92123

San Diego County (858) 251-7370

KELLY E MONTIEL BCBA

Behavior Analyst

3954 MURPHY CANYON RD, SUITE D105
SAN DIEGO, CA 92123

San Diego County (858) 569-0056

ELIZABETH DEWOLF BCBA

Behavior Analyst

3954 MURPHY CANYON RD, SUITE D105
SAN DIEGO, CA 92123

San Diego County (858) 569-0056

JOSEPH MEDRANO

Behavior Analyst

3954 MURPHY CANYON RD, SUITE D105
SAN DIEGO, CA 92123

San Diego County (858) 569-0056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Wallace's NPI number?

The NPI number for Shannon Wallace is 1730328840. It was assigned to this individual provider in the NPPES registry on February 12, 2009.

Where is Shannon Wallace located?

Shannon Wallace practices at 3954 Murphy Canyon Rd Suite D105, San Diego, CA 92123. The listed phone number is (858) 569-0056.

What is Shannon Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Wallace was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.