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

Virgil Waller

Individual provider Behavior Technician · NPI 1346889318

Virgil Waller is a Behavior Technician in Oakland, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

10429 International Blvd
Oakland, CA 94603-3221
Phone: (510) 777-8448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 42287 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1346889318
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2019
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address10429 International Blvd Ste C, Oakland, CA 94603-3221

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