MR. JASON D WALLACE (BCBA) – Behavior Analyst, NPI 1679713754

MR. JASON D WALLACE (BCBA) is a healthcare provider. based in Oldsmar, Florida. specializing in Behavior Analyst. They hold the professional credentials BCBA. They hold a License No. 1-04-1845 (FL). The NPI Number for MR. JASON D WALLACE (BCBA) is 1679713754

Main info

Male
Sole Proprietor
Name
MR. JASON D WALLACE (BCBA)
NPI
1679713754
Phone
(813) 546-9867
Address
104 SHOREVIEW LN
Enumeration Date
2 March 2009
Last Update Date
2 March 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JASON D WALLACE (BCBA)

  • 104, Shoreview Lane, Oldsmar, Pinellas County, Florida, 34677, United States

    OLDSMAR, FL 346774106

    Phone: (813) 546-9867

    Fax: (813) 818-0510

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34677)

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Reviews

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Frequently asked questions

Does MR. JASON D WALLACE (BCBA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. JASON D WALLACE (BCBA) uses 1679713754.
Can I rely on MR. JASON D WALLACE (BCBA) being an active provider?
As of the registry snapshot, MR. JASON D WALLACE (BCBA) is marked active.
What is MR. JASON D WALLACE (BCBA)'s primary classification?
Behavior Analyst is the headline specialty for MR. JASON D WALLACE (BCBA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JASON D WALLACE (BCBA)?
MR. JASON D WALLACE (BCBA)'s geographic hint is Oldsmar, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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