WILLOW ABA SERVICES LLC (NPI# 1508486705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508486705 |
| Entity Type | Organization |
| Organization Name | WILLOW ABA SERVICES LLC |
| Practice Address |
401 E Memorial Rd Ste 400 Oklahoma City OK 73114-2282 |
| Mailing Address |
7150 Campus Dr Ste 290 Colorado Springs CO 80920-6508 |
| Practice Telephone | 9133753626 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | TANNER SIERKS (OWNER) |
| Authorized Official Telephone | 9133753626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228666 | Willow Aba Services LLC | Behavioral Analyst | 9142 W 135th St # Sr, Overland Park, KS 66221-2044 | 2020-03-02 |
| 1639704372 | Willow Aba Services LLC | Behavioral Analyst | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2020-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Willow ABA Services LLC | 8000 South Lincoln Street, Ste 10, Littleton, CO 80122 |
| Colorado Business Entities | Willow ABA Services LLC - Golden | 8000 S Lincoln St, Ste 290, Littleton, CO 80122 |
| Street Address |
401 E MEMORIAL RD STE 400 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598306219 | Maria Karina Guzman | Behavioral Analyst | 4305 Nw 60th St, Oklahoma City, OK 73112-1318 | 2019-10-03 |
| 1679129803 | Tammie Lyn Phillips | Behavioral Analyst | 6700 W Memorial Rd Apt 421, Oklahoma City, OK 73142-6406 | 2019-08-13 |
| 1447803275 | Advanced Behavioral Solutions, LLC | Behavioral Analyst | 5100 N Brookline Ave Ste 380, Oklahoma City, OK 73112-3633 | 2019-07-21 |
| 1356803613 | Positive Strategies of Oklahoma | Behavioral Analyst | 6815 Se 160th St, Oklahoma City, OK 73165-7668 | 2019-04-04 |
| 1730692906 | Red River Behavioral Specialists LLC | Behavioral Analyst | 5737 Nw 132nd St, Oklahoma City, OK 73142-4437 | 2017-11-09 |
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1578013959 | Deborah Finley | Behavioral Analyst | 1434 Nw 44th St, Oklahoma City, OK 73118-5002 | 2016-10-10 |
| 1215485255 | Stephanie Chilvers | Behavioral Analyst | 7611 Nw 107th St, Oklahoma City, OK 73162-4316 | 2016-09-20 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1548613425 | Raphael Bonelle | Behavioral Analyst | 12000 N Virginia Ave, Oklahoma City, OK 73120-7581 | 2016-07-15 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
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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.