Zakary Russell Wallace, MS, BCBA, LBA
NPI 1497319529ActiveIndividual· Behavior Analyst· Bowling Green, KY
Behavior Analyst (MS, BCBA, LBA) in Bowling Green, Kentucky, licensed in KY, with an NPI issued in April 2019.
Overview
| NPI | 1497319529 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, BCBA, LBA |
| Sole proprietor | No |
| NPI issued | Apr 24, 2019 |
| Last updated in NPPES | Nov 1, 2021 |
| Certified by provider | Nov 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 274223 | KY |
| Behavior Analyst | 103K00000X | — | — |
| Behavior Technician | 106S00000X | RBT-19-84856 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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