IndividualActive
Derek Wallis
NPI 1740047232 · Behavior Technician · Saginaw, MI
Provider details
- NPI number
- 1740047232
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
203 S Washington Ave Ste 30
Saginaw, MI 48607-1217
Phone: (989) 225-7101
Fax: (989) 209-3246
Street-level locationGet directions
Mailing address
3599 E Southgate Dr Ste 30
Midland, MI 48640-8507
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.