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

Shannon D Wallace, BCBA

Individual provider Behavior Analyst · NPI 1730328840

Shannon D Wallace, BCBA is a Behavior Analyst in San Diego, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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

3954 Murphy Canyon Rd Ste D105
San Diego, CA 92123-4418
Phone: (858) 569-0056
Fax: (858) 569-4233
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-08-4562 (CA)

Record details

NPI number1730328840
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedFebruary 12, 2009
Last updated in NPPESMarch 8, 2013
Mailing address3954 Murphy Canyon Rd, Suite D105, San Diego, CA 92123-4418

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