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

Zakary Russell Wallace, MS, BCBA, LBA

Individual provider Behavior Analyst · NPI 1497319529

Zakary Russell Wallace, MS, BCBA, LBA is a Behavior Analyst in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2019.

Licensed in
KY
In the registry since
2019
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2427 Russellville Rd
Bowling Green, KY 42101-3980
Phone: (270) 936-7472
Fax: (317) 520-8200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 274223 (KY)
Behavior Analyst Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X · Licence RBT-19-84856

Record details

NPI number1497319529
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , BCBA , LBA
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

Other providers in Bowling Green