MR. JASON WALLACE, BCBA

Behavior Analyst

Active Individual
NPI: 1679713754

Practice Address

104 SHOREVIEW LN
Oldsmar, FL 34677

Phone: (813) 546-9867

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X Yes 1-04-1845 (FL)

Frequently Asked Questions

NPI 1679713754 is the National Provider Identifier for MR. JASON WALLACE, BCBA, a Behavior Analyst provider located in Oldsmar, FL. This NPI was enumerated on March 2, 2009.
MR. JASON WALLACE, BCBA practices at 104 SHOREVIEW LN, Oldsmar, FL 34677.

Quick Facts

NPI
1679713754
Type
Individual
Enumerated
Mar 2, 2009
Last Updated
Mar 2, 2009

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