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JASEN WALLACE BCBA
NPI 1982182705
Behavior Analyst in Concord, CA

Active since August 02, 2018
3437 DORMER AVE, CONCORD, CA 94519(415) 989-5000 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2026, Aug 2, 2018 (2 updates tracked since 2018).

About Jasen Wallace Bcba NPPES

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

JASEN WALLACE BCBA (NPI 1982182705) is an individual behavior analyst provider in Concord, California, licensed in California (1-22-62688) and active in the NPI registry since August 2018. He maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1982182705
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJASEN WALLACECredential: BCBA
Location Address3437 DORMER AVEConcord, CA 94519-1603
Mailing Address625 Ashbury St Apt 15San Francisco, CA 94117-4703
Phone(415) 989-5000
Sole ProprietorNo
Enumeration DateAugust 2, 2018
Last NPPES UpdateMay 10, 20262 updates tracked since enumeration
NPPES CertifiedMay 10, 2026
✔ NPI 1982182705 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 · 1-22-62688
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.
3437 DORMER AVE, Concord, CA 94519
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Secondary Practice Location 1

Location 13000 El Camino Real Bldg 4Palo Alto, CA 94306-2100 · Phone (408) 637-7762

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Jasen Wallace's NPI number?

The NPI number for Jasen Wallace is 1982182705. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Jasen Wallace located?

Jasen Wallace practices at 3437 Dormer Ave, Concord, CA 94519. The listed phone number is (415) 989-5000.

What is Jasen Wallace's specialty?

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

What insurance does Jasen Wallace accept?

Health plans from Providence Health Plan list Jasen Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasen Wallace was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.