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Active NPI 1881263457 Individual Practitioner Male Practitioner

Michael Bob Wallis , BCBA

Behavior Analyst • Terrell, TX

Professional Overview & Biography Verified Profile Summary

Michael Wallis, BCBA is a registered healthcare professional specializing in Behavior Analyst in Terrell, TX. Practice services are available at 400 AIRPORT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Airport Rd

Terrell, TX 751604302

Telephone 9723882000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Terrell, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Terrell, TX (5867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License TX 1-25-50389

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Insurance
1596 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1194480236

Board Certified Behavior Analyst, Licensed Behavior Analyst

Ashley Carter , LPC

Counselor - Professional

NPI 1588428304

Licensed Professional Counselor

Jessica Mcminn , LPC

Counselor - Professional

NPI 1598573891

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2021

Registered at 400 AIRPORT RD, TERRELL, TX 751604302 (Tel: 9723882000)

📍
Updated Business Mailing Address June 18, 2021

Registered at 3204 AUBURN DR, ROWLETT, TX 750886647 (Tel: 9032581188)

👤
Provider Name / Credentials Updated June 18, 2021

Recorded as MICHAEL WALLIS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2021

Behavior Analyst (License #1-25-50389 in TX)

🟢
Initial NPI Registration & Enumeration June 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881263457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2021
Last Update: June 18, 2021
Sole Proprietor: Yes

Mailing Address

3204 Auburn Dr

Rowlett, TX 750886647

Phone: 9032581188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.