Willow ABA Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WILLOW ABA SERVICES LLC

Practice address

401 E Memorial Rd Ste 400
Oklahoma City, OK 73114-2282

Phone

(913) 375-3626

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Tanner Sierks

Title

Owner

Phone

(913) 375-3626

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1508486705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 CAMPUS DR STE 290",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MEMORIAL RD STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142282",
            "telephone_number": "913-375-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "SIERKS",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-375-3626"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@willowaba.com",
            "affiliation": "Y",
            "affiliationName": "Willow ABA Services",
            "address_1": "401 E Memorial Rd Ste 400",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731142282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Staci Willis
• Temika Willis, B.A.
• Melissa Daree Willman, RNC, IBCLC
• Anthony Willoughby
• Markie J Willoughby, PRSS
• Willow Birth Services
• Willow Path Therapy LLC
• Betina Wills
• Traci Renee Wilmarth, CRNA
• Brooke Piland Wilmore, MD

• Behavior Analyst in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.