Jason Wallace
NPI #1457212557 in Pasadena, California
Provider Information
- NPI Number
- 1457212557
- Entity Type
- Individual
- Name
- Jason Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Nov 19, 2025
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 2650 E FOOTHILL BLVD
- City
- Pasadena
- State
- California
- ZIP Code
- 91107-3439
- Phone
- (626) 577-2261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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