Organization Active NPI

Willetts Way ABA

  • Behavior Analyst
  • Lake Stevens, WA
National Provider Identifier
1366295529
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WILLETTS WAY ABA
Doing business as
Willetts Way ABA
Practice address
10019 15TH PL SE
Lake Stevens, WA 98258-3830
Phone
(818) 401-5134
Fax
(833) 992-3922
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Wendy Willett York, LBANPI 1770026668
Title
Founder/Senior Behavior Analyst
Phone
(818) 401-5134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10019 15TH PL SE
Lake Stevens, WA 98258-3830

Mailing address

10019 15TH PL SE
Lake Stevens, WA 98258-3830
Phone (818) 401-5134

Other names 1

  • Willetts Way ABA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1366295529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 15TH PL SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583830",
            "telephone_number": "818-401-5134",
            "fax_number": "833-992-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10019 15TH PL SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583830",
            "telephone_number": "818-401-5134",
            "fax_number": "833-992-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLETTS WAY ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "WILLETT",
        "authorized_official_title_or_position": "FOUNDER/SENIOR BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "818-401-5134",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willetts Way ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.