Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Donna Jo Emily Wallis

Individual provider Behavior Technician · NPI 1174004634

Mrs. Donna Jo Emily Wallis is a Behavior Technician in Saginaw, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2525 State St
Saginaw, MI 48602-3966
Phone: (989) 259-9984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401001383 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1174004634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2018
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

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