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

Individual provider Behavior Analyst · NPI 1679713754

Mr. Jason D Wallace, BCBA is a Behavior Analyst in Oldsmar, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
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

104 Shoreview Ln
Oldsmar, FL 34677-4106
Phone: (813) 546-9867
Fax: (813) 818-0510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-04-1845 (FL)

Record details

NPI number1679713754
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorYes
NPI enumeratedMarch 2, 2009
Last updated in NPPESMarch 2, 2009

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