Individual
MADISON WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 S CEDAR RIDGE DR, DUNCANVILLE, TX 75137-2203
(945) 277-3408
Mailing address
5017 MANETT ST UNIT 202, DALLAS, TX 75206-6775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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