Kayla Wallace, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-54042 Issued in NU

Practice address

1500 E Hamilton Ave Ste 117
Campbell, CA 95008-0834

Phone

(831) 234-8537

NPI assigned

Mar 15, 2018

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kayla Marie Fladger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Learn by Design

  • Behavior Analyst
  • San Jose, CA
  • NPI 1225926785
  NPD Authorized official

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1568965671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 105",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "831-234-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 117",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "831-234-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KAYLA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-21-54042",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "FLADGER",
            "middle_name": "MARIE",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co (Walgreens #02957)
• Walgreen Co (Walgreens #06585)
• Lisa Ann Walker-Vischer, RN, CNS
• Dana Walker
• Damien Wallace
• Suzanna Walter, OTR/L
• Mary Jean Walton
• Mary R. Waltz, M.A.
• Lawrence K Wan, O.D.
• Wang Chiropractic

• Behavior Analyst in Campbell, CA
• Providers in Campbell, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.