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Jacy Shea Wallace

Behavior Analyst β€’ Chandler, AZ

Active NPI 1285384776 Individual Practitioner Female Practitioner
Practice location in NPPES

3910 S Alma School Rd
Chandler, AZ 852484498

Call 6029267200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3910 S Alma School Rd

Chandler, AZ 852484498

Telephone 6029267200
Organization at the Same NPPES Address or Phone
Accel Facility NPI 1104123116

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chandler and Arizona

174 active clinicians are listed under Behavior Analyst with a practice address in Chandler, AZ (1,775 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chandler

0% of these 174 clinicians have the CMS telehealth indicator.

0.6% of these 174 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES AZ BEH-001284

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 19, 2023

Registered at 3910 S ALMA SCHOOL RD, CHANDLER, AZ 852484498 (Tel: 6029267200)

πŸ“
Updated Business Mailing Address September 19, 2023

Registered at 10251 N 35TH AVE, PHOENIX, AZ 850511305 (Tel: 6029267200)

πŸ‘€
Provider Name / Credentials Updated September 19, 2023

Recorded as JACY WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2023

Behavior Analyst (license number reported to NPPES: AZ BEH-001284)

βœ…
NPI Profile Active March 27, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 27, 2022

Registered at 2222 S DOBSON RD BLDG 9, MESA, AZ 852026481 (Tel: 6029267200)

πŸ“
Business Mailing Address (Initial Record) March 27, 2022

Registered at 2222 S DOBSON RD BLDG 9, MESA, AZ 852026481 (Tel: 6029267200)

πŸ‘€
Provider Name / Credentials (Initial Record) March 27, 2022

Recorded as JACY SIDWELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration March 27, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285384776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2022
Last Update: September 19, 2023
Sole Proprietor: No

Mailing Address

10251 N 35th Ave

Phoenix, AZ 850511305

Phone: 6029267200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.