CAMILLE WALLACE (NPI# 1336639012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336639012 |
| Entity Type | Individual |
| Full Name | CAMILLE WALLACE |
| Credential | RBT |
| Practice Address |
7567 Amador Valley Blvd Ste 201 Dublin CA 94568-2443 |
| Practice Telephone | 9256401220 |
| Mailing Telephone | 9256401220 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
7567 AMADOR VALLEY BLVD STE 201 |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919670 | Sagar Mehta | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-10-15 |
| 1689272221 | Krystal Martinez | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-10-15 |
| 1215535836 | Darlene Somarriba | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-10-15 |
| 1811595465 | Brunella Alegria | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-10-15 |
| 1356957229 | Ashley Myers | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-09-16 |
| 1265048136 | Sydney Mendez | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-09-16 |
| 1265048144 | Jocelyn Angulo | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-09-16 |
| 1841805264 | I'mani Nash | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-09-11 |
| 1467067884 | Rachael Grima | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-09-11 |
| 1629683040 | Nalani Roach | Behavior Technician | 7567 Amador Valley Blvd Ste 201, Dublin, CA 94568-2443 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897291 | Korina Rose Price | Behavior Technician | 8140 Elgin Ln, Dublin, CA 94568-1506 | 2020-03-24 |
| 1205486776 | Aliyah Muhammad | Behavior Technician | 5601 Arnold Rd Fl 104, Dublin, CA 94568-7726 | 2019-09-17 |
| 1992354369 | Lidia Gonzalez | Behavior Technician | 7567 Amador Vly Blvd Ste 109, Dublin, CA 94568-2442 | 2019-09-09 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1013474774 | Yanira Moreno | Behavior Technician | 7567 Amador Valley Blvd Ste 401, Dublin, CA 94568-2441 | 2019-02-28 |
| 1962967265 | Kathryn Rose Delong | Behavior Technician | 535 Metro Pl S Ste 100, Dublin, OH 43017-5302 | 2019-01-31 |
| 1356814560 | Trishaya Spain-austin | Behavior Technician | 545 Metro Place North, Suite 100, Dublin, OH 43017 | 2019-01-10 |
| Find all providers in DUBLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.