KATELYN WALLIS
NPI 1679158877
Behavior Technician in Fort Gratiot, MI

Active since March 10, 2021
3245 KEEWAHDIN RD, FORT GRATIOT, MI 48059(810) 937-2345 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katelyn Wallis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN WALLIS (NPI 1679158877) is an individual behavior technician in Fort Gratiot, Michigan and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1679158877
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKATELYN WALLIS
Location Address3245 KEEWAHDIN RDFort Gratiot, MI 48059-3498
Mailing Address5039 Villa Linde Pkwy Ste 30Flint, MI 48532-3450 · (989) 401-2244
Sole ProprietorYes
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1679158877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

3245 KEEWAHDIN RD, Fort Gratiot, MI 48059

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
3245 KEEWAHDIN RD
FORT GRATIOT, MI 48059
Behavior Technician
3245 KEEWAHDIN RD
FORT GRATIOT, MI 48059
Behavior Technician
3245 KEEWAHDIN RD
FORT GRATIOT, MI 48059
Behavior Technician
3245 KEEWAHDIN RD
FORT GRATIOT, MI 48059
Behavior Technician
3245 KEEWAHDIN RD
FORT GRATIOT, MI 48059
Behavior Technician
3245 KEEWAHDIN RD
FORT GRATIOT, MI 48059
Behavior Technician
3245 KEEWAHDIN RD
FORT GRATIOT, MI 48059
Behavior Analyst
3245 KEEWAHDIN RD
FORT GRATIOT, MI 48059

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679158877, enumerated as an "individual" on March 10, 2021.

The provider is located at 3245 KEEWAHDIN RD FORT GRATIOT, MI 48059 and the phone number is (810) 937-2345.

Behavior Technician with taxonomy code 106S00000X.