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

Jasen Wallace, BCBA

Individual provider Behavior Analyst · NPI 1982182705

Jasen Wallace, BCBA is a Behavior Analyst in Concord, California. Works from 2 locations. Licensed in California.

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.

See every abbreviation used in this directory →

Practice location Address checks out

3437 Dormer Ave
Concord, CA 94519-1603
Phone: (415) 989-5000
Show map & directions

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

Additional practice locations (1)

  • 3000 El Camino Real Bldg 4, Palo Alto, CA 94306-2100 — (408) 637-7762

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-62688 (CA)

Record details

NPI number1982182705
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedAugust 2, 2018
Last updated in NPPESMay 10, 2026
Certification dateMay 10, 2026
Mailing address625 Ashbury St Apt 15, San Francisco, CA 94117-4703

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