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Camille Wallace, BCBA, LBA
NPI 1336639012 · Behavior Analyst · San Leandro, CA
Camille Wallace, BCBA, LBA is a Behavior Analyst provider in San Leandro, CA (NPI 1336639012).
Provider details
- NPI number
- 1336639012
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-20-46247 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2104 Miramonte Ave Apt 9
San Leandro, CA 94578-1549
Phone: (510) 298-8463
Street-level locationGet directions
Mailing address
2302 Hillside Ct
Southlake, TX 76092-5709
Registry dates
- Enumerated
- 2018-05-17
- Last updated
- 2025-04-05
- Certified
- 2025-04-05
Frequently asked questions
- What is Camille Wallace's NPI number?
- Camille Wallace's National Provider Identifier (NPI) is 1336639012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Camille Wallace's specialty?
- Camille Wallace is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Camille Wallace located?
- Camille Wallace's practice location on file with NPPES is 2104 Miramonte Ave Apt 9, San Leandro, CA 94578-1549.
- What is Camille Wallace's phone number?
- The practice phone number listed in the NPPES registry for Camille Wallace is (510) 298-8463.
- Is Camille Wallace's NPI active?
- Yes — Camille Wallace's NPI (1336639012) is active in the NPPES registry as of the last update on 2025-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.