Wallace, Camille

Wallace, Camille is an individual health care provider with primary practice located at 2104 Miramonte Ave Apt 9 , San Leandro CA 94578-1549. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Wallace, Camille can be contacted via phone (510) 298-8463.

Contact Information

Primary practice address
2104 Miramonte Ave Apt 9 San Leandro CA 94578-1549
Phone: (510) 298-8463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-46247 California

Profile Details

NPI number 1336639012
LBN Legal business name Wallace, Camille
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2018
Last updated Jan 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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