Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
SHANNON D WALLACE
Active
Individual
SHANNON D WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003073156
AEFCT COMPANY NPI#
—
Enumeration date
02/12/2009
Last updated
03/08/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up