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Angela Willis

Assistant Behavior Analyst β€’ Murray, KY

Active NPI 1700347119 Individual Practitioner Female Practitioner
Practice location in NPPES

208 S 6th St
Murray, KY 420712516

Call 2708070335 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

208 S 6th St

Murray, KY 420712516

Telephone 2708070335
Organization at the Same NPPES Address or Phone
Assocaites In Pediatric Therapy Llc Facility NPI 1083104111

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Murray and Kentucky

1 active clinicians are listed under Assistant Behavior Analyst with a practice address in Murray, KY (17 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-21
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES KY 296413

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES KY RBT-19-89190

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 26, 2024

Registered at 208 S 6TH ST, MURRAY, KY 420712516 (Tel: 2708070335)

πŸ“
Updated Business Mailing Address January 26, 2024

Registered at 90 HOWARD DR, SHELBYVILLE, KY 400658138 (Tel: 5026331007)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2024

Behavior Technician (license number reported to NPPES: KY RBT-19-89190)

βœ…
NPI Profile Active March 28, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 28, 2019

Registered at 634 N 12TH ST, MURRAY, KY 420711651 (Tel: 2707024641)

πŸ“
Business Mailing Address (Initial Record) March 28, 2019

Registered at 1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 372172679 (Tel: 6156952277)

πŸ‘€
Provider Name / Credentials (Initial Record) March 28, 2019

Recorded as ANGELA WILLIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration March 28, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700347119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2019
Last Update: January 21, 2025
Sole Proprietor: No

Mailing Address

90 Howard Dr

Shelbyville, KY 400658138

Phone: 5026331007

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.