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

Mystery Wallis

Individual provider Behavior Technician · NPI 1881459287

Mystery Wallis is a Behavior Technician in Sacramento, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1300 Ethan Way Ste 175
Sacramento, CA 95825-2277
Phone: (833) 599-2560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1881459287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2024
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

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