Individual provider · Type 1 NPI

Jason Wallace

Day Training/Habilitation Specialist · Pasadena, CA

NPI number 1457212557 Active

Practice location

2650 E Foothill Blvd
Pasadena, CA 91107-3439

Call (626) 577-2261 Map

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1457212557

Jason Wallace's National Provider Identifier is 1457212557, issued on Nov 19, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Pasadena, CA. The record was last updated on Nov 19, 2025.