Donna Jo Emily Wallis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001383 Issued in MI

Practice address

2525 State St
Saginaw, MI 48602-3966

Phone

(989) 259-9984

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flourish Services

  • Behavior Analyst
  • Saginaw, MI
  • NPI 1396424628
  NPD Authorized official
• Game Changer Pediatric Therapy Services LLC

  • Pediatric Occupational Therapist
  • Bay City, MI
  • NPI 1437506383
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1174004634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023966",
            "telephone_number": "989-259-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023966",
            "telephone_number": "989-259-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "DONNA JO",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jayne Wallace, LMSW
• Sarah Wallace
• Shameka S Wallace, LLMSW
• Shareika Denell Wallace, CPHT
• Derek Wallis
• Kelly Jo Walraven-Swartz, LMSW, BCD
• Jamie Ann Walter, LMSW-C
• Julia M Walter, M.D.
• Avia Walters
• Jodean Ruth Walters, OTA

• Behavior Analyst in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.