Cassandra Wally, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24068 Issued in WA

Practice address

5809 NE 71St Ave
Unit 12
Vancouver, WA 98661-9866

Phone

(360) 229-2029

NPI assigned

Mar 19, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLC Behavioral Consulting

  • Behavior Analyst
  • Vancouver, WA
  • NPI 1538753454
  NPD Authorized official
• TLC Behavioral Consulting Services

  • Behavior Analyst
  • Vancouver, WA
  • NPI 1871299891
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1497149140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 NE 71ST AVE UNIT 12",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611944",
            "telephone_number": "360-229-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 NE 71ST AVE",
            "address_2": "UNIT 12",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986619866",
            "telephone_number": "360-229-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLY",
        "first_name": "CASSANDRA",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2022-08-25",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-16-24068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wallinger
• Joanne M Wallis, PNP
• Charlene Renee Walloch, R.D.H.
• Dustin Lee Walls, SLP-CCC
• Lael Wallway
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.

• Behavior Analyst in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.