AMBER EVELYN WILLIS (NPI# 1043723414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043723414 |
| Entity Type | Individual |
| Full Name | AMBER EVELYN WILLIS |
| Practice Address |
600 N 93rd St Ste 200 Omaha NE 68114-2616 |
| Mailing Address |
13322 I St Omaha NE 68137-1111 |
| Practice Telephone | 4022305861 |
| Mailing Telephone | 4022305861 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9012 Q St, Omaha, NE 681273549 | 4029132320 | 4025595737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881028751 | Amber Willis | Registered Nurse | 3681 Winding Trail Dr, Douglasville, GA 30135-7219 | 2013-08-28 |
| 1982986865 | Amber Willis | Speech-Language Pathologist | 141 Ivy St, South Plainfield, NJ 07080-2149 | 2011-09-15 |
| 1316275274 | Amber B Willis | Marriage & Family Therapist | 986 W Atherton Dr, 270, Salt Lake City, UT 84123-6887 | 2009-12-03 |
| 1326589680 | Amber Dawn Willis | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2017-03-19 |
| 1558716126 | Amber Willis | Social Worker | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2016-05-02 |
| 1649443607 | Amber D Willis | Emergency Medicine | 1114 N Main St, Summerville, SC 29483-7326 | 2008-04-10 |
| Street Address |
600 N 93RD ST STE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437696051 | Kally Sorensen | Assistant Behavior Analyst | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2017-01-20 |
| 1073073664 | Kathya Carvajal | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2019-03-21 |
| 1861958423 | Annalise Anderson | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2019-02-19 |
| 1043776610 | Thomas Hoden | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2019-02-19 |
| 1225534324 | Anne C D'souza | Behavior Technician | 600 N 93rd St Ste 200, Omaha, NE 68114-2616 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | 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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609343920 | Jamaih Tyndall | Behavior Technician | 2111 S 67th St Ste 352, Omaha, NE 68106-2882 | 2018-10-24 |
| 1710466982 | Maya Lee Evans | Behavior Technician | 10406 Fort Plz Apt 9, Omaha, NE 68134-1225 | 2018-08-08 |
| 1891285458 | Lainey Marilyn Diers | Behavior Technician | 7905 L St Ste 230, Omaha, NE 68127-1732 | 2018-05-18 |
| 1205383338 | Grace Spath | Behavior Technician | 985450 Nebraska Medical Center, Omaha, NE 68198-5450 | 2016-09-07 |
| 1073114898 | Lane Weston Willmott | Behavior Technician | 8922 Cuming St, Omaha, NE 68114-2732 | 2020-11-06 |
| 1114528320 | Aaron Hiatt | Behavior Technician | 8922 Cuming St, Omaha, NE 68114-2732 | 2020-11-04 |
| 1194324418 | Abigail Leigh Ahmann | Behavior Technician | 9012 Q St, Omaha, NE 68127-3549 | 2020-10-19 |
| 1467050930 | Christina Colleen Stasi | Behavior Technician | 9012 Q St, Omaha, NE 68127-3549 | 2020-10-15 |
| 1932707858 | Neha Vaishali Imrit | Behavior Technician | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2020-10-13 |
| 1487251179 | Hannah May | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-10-06 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.