WILLOW ABA SERVICES LLC (NPI# 1639704372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639704372 |
| Entity Type | Organization |
| Organization Name | WILLOW ABA SERVICES LLC |
| Practice Address |
2815 Exchange Blvd Ste 100 Southlake TX 76092-7515 |
| Mailing Address |
7150 Campus Dr Ste 290 Colorado Springs CO 80920-6508 |
| Practice Telephone | 9133753626 |
| Mailing Telephone | 9133753626 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| 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 |
|---|---|---|---|---|
| 1508486705 | Willow Aba Services LLC | Behavioral Analyst | 401 E Memorial Rd Ste 400, Oklahoma City, OK 73114-2282 | 2020-04-17 |
| 1881228666 | Willow Aba Services LLC | Behavioral Analyst | 9142 W 135th St # Sr, Overland Park, KS 66221-2044 | 2020-03-02 |
| 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 |
2815 EXCHANGE BLVD STE 100 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-7515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013467224 | Lillian Joan Biarnesen | Behavioral Analyst | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2016-10-12 |
| 1316565898 | Katarina Victoria Mckinney | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2020-07-10 |
| 1518592484 | Nethaniel Bernal | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2020-03-11 |
| 1639717515 | Labrenda Kay Starr Wright | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2019-12-11 |
| 1598303471 | Jassimran Grewal | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2019-12-11 |
| 1265086912 | Meghan Blake | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2019-07-31 |
| 1477019966 | Stephanie Lynn Brednick | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2019-02-20 |
| 1104382167 | Rachel Terese Blackman | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2019-02-14 |
| 1669946828 | Erica Kristen Cascio | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2019-01-21 |
| 1376015057 | Regan Marie Hatwig | Behavior Technician | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2018-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| 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 |
|---|---|---|---|---|
| 1407453749 | Southlake Hb Aba Services LLC | Behavioral Analyst | 940 S Kimball Ave Ste 175, Southlake, TX 76092-9024 | 2020-10-08 |
| 1952926875 | Jasmine Monsivais-mendez | Behavioral Analyst | 2615 E Southlake Blvd Ste 190, Southlake, TX 76092-6689 | 2020-06-16 |
| 1003474677 | Roy Lee Jones Jr. | Behavioral Analyst | 950 E State Highway 114, Southlake, TX 76092-5240 | 2019-05-30 |
| 1245775550 | Brianna Berry | Behavioral Analyst | 2615 E Southlake Blvd, 190, Southlake, TX 76092-6688 | 2016-12-21 |
| 1013467224 | Lillian Joan Biarnesen | Behavioral Analyst | 2815 Exchange Blvd Ste 100, Southlake, TX 76092-7515 | 2016-10-12 |
| 1013143767 | Pine Cone Therapies LLC | Behavioral Analyst | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2009-06-09 |
| 1770719528 | Lloyd G Summy | Behavioral Analyst | 594 Garden Ct, Southlake, TX 76092-3500 | 2009-06-08 |
| 1619512811 | Laura O Geiger | Behavioral Analyst | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2019-11-12 |
| 1679124606 | Christa Ann Stapleton | Behavioral Analyst | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2019-09-20 |
| 1447804422 | Tiffany Judkins | Behavioral Analyst | 2815 Exchange Blvd, Southlake, TX 76092-7514 | 2019-07-29 |
| Find all providers in SOUTHLAKE | ||||
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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.