Individual provider · Type 1 NPI
Lillian Renee Wallis
Behavior Technician · Mishawaka, IN
Practice location
3838 N Main St
Mishawaka, IN 46545-3100
Mailing address
55245 Timothy Rd
New Carlisle, IN 46552-9669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician Primary | 106S00000X | None listed |
Behavior Technician: 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…
2 other providers at this address
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About NPI 1639009046
Lillian Renee Wallis's National Provider Identifier is 1639009046, issued on May 20, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Mishawaka, IN. The record was last updated on May 20, 2026.