Holly Wells Willborn, BA, BCAT, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-16-19496 Issued in CO

Practice address

2121 S Blackhawk St Ste 100
Aurora, CO 80014-1488

Phone

(720) 545-0768

NPI assigned

Jan 12, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1053829069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S BLACKHAWK ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141488",
            "telephone_number": "720-545-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLBORN",
        "first_name": "HOLLY",
        "middle_name": "WELLS",
        "name_prefix": "Ms.",
        "credential": "BA, BCAT, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-16-19496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Wilkinson, MD
• Ty Edward Wilkinson
• Breelyn Ann Wilky, MD
• Robert T Will, DPT
• Nicholas Willard, DO
• Stephanie Maria Wille
• Terri A Willems
• Taylor Willer I, RDH
• Ellen Willett, M.A., CCC-SLP
• Johni Willett

• Behavior Technician in Aurora, CO
• Providers in Aurora, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.