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

Damien Wallace

Individual provider Behavior Technician · NPI 1629894787

Damien Wallace is a Behavior Technician in Campbell, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1500 E Hamilton Ave Ste 105
Campbell, CA 95008-0834
Phone: (888) 891-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629894787
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 22, 2024
Last updated in NPPESNovember 22, 2024
Certification dateNovember 20, 2024
Mailing address1500 E Hamilton Ave Ste 105, Campbell, CA 95008-0834

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