IndividualActive
Tim Wallace
NPI 1790322840 · Behavior Technician · Alameda, CA
Tim Wallace is a Behavior Technician provider in Alameda, CA (NPI 1790322840).
Provider details
- NPI number
- 1790322840
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Phone: (510) 268-8120
Street-level locationGet directions
Mailing address
850 Russell Ave Apt D1
Santa Rosa, CA 95403-2106
Registry dates
- Enumerated
- 2019-12-09
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Frequently asked questions
- What is Tim Wallace's NPI number?
- Tim Wallace's National Provider Identifier (NPI) is 1790322840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tim Wallace's specialty?
- Tim Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tim Wallace located?
- Tim Wallace's practice location on file with NPPES is 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188.
- What is Tim Wallace's phone number?
- The practice phone number listed in the NPPES registry for Tim Wallace is (510) 268-8120.
- Is Tim Wallace's NPI active?
- Yes — Tim Wallace's NPI (1790322840) is active in the NPPES registry as of the last update on 2019-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.