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

Matthew Wallen

Individual provider Behavior Technician · NPI 1508334566

Matthew Wallen is a Behavior Technician in San Bruno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

751 Camino Plz # A
San Bruno, CA 94066-3401
Phone: (650) 627-8045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1508334566
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 7, 2018
Last updated in NPPESNovember 7, 2018
Mailing address390 Union Blvd Ste 300, Lakewood, CO 80228-6514

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