Jennifer L Wills, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

001837 Issued in NY

Practice address

3457 82ND St Apt 2D
Jackson Heights, NY 11372-2931

Phone

(646) 422-9610

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1326685348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 82ND ST APT 2D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 82ND ST APT 2D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722931",
            "telephone_number": "646-422-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Wilder
• Penelope Williams, LMSW
• Sandra Kerry-Ann Williams
• Shanique Williams, OTR/L
• Shennel Williams
• David S Winter, M.D.
• Seth Wolfson, DDS
• Jorge Won, OD
• Benjamin Wong
• Kim Wong, RPH

• Behavior Analyst in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.