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

Mr. Wallace Conrad Dixon Jr.

Individual provider Behavior Analyst · NPI 1417228461

Mr. Wallace Conrad Dixon Jr. is a Behavior Analyst in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

801 S Winchester Blvd Apt 5105
San Jose, CA 95128-2976
Phone: (510) 253-6769
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1417228461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 23, 2012
Last updated in NPPESJanuary 23, 2012

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