Individual provider · Type 1 NPI

Kayla Wallace, BCBA

Behavior Analyst · Campbell, CA

NPI number 1568965671 Active

Practice location

1500 E Hamilton Ave Ste 117
Campbell, CA 95008-0834

Mailing address

1500 E Hamilton Ave Ste 105
Campbell, CA 95008-0834

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000X1-21-54042

Behavior Analyst: 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…

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About NPI 1568965671

Kayla Wallace, BCBA's National Provider Identifier is 1568965671, issued on Mar 15, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Campbell, CA. The record was last updated on Sep 29, 2026.