Derek Wallis
Derek Wallis is a Behavior Technician in Saginaw, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
203 S Washington Ave Ste 30Saginaw, MI 48607-1217
Phone: (989) 225-7101
Fax: (989) 209-3246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1740047232 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 1, 2024 |
| Last updated in NPPES | March 1, 2024 |
| Certification date | March 1, 2024 |
| Mailing address | 3599 E Southgate Dr Ste 30, Midland, MI 48640-8507 |
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