Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Camille Wallace, BCBA, LBA

Individual provider Behavior Analyst · NPI 1336639012

Camille Wallace, BCBA, LBA is a Behavior Analyst in San Leandro, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

2104 Miramonte Ave Apt 9
San Leandro, CA 94578-1549
Phone: (510) 298-8463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-46247 (CA)

Record details

NPI number1336639012
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA , LBA
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESApril 5, 2025
Certification dateApril 5, 2025

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