Individual provider Active NPI

Kendra Oyesanya Willis

  • Behavior Technician
  • Sylmar, CA
National Provider Identifier
1538014238
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13048 Angeles Trail Way
Sylmar, CA 91342-3479
Phone
(310) 497-1933
NPI assigned
Feb 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X CA Primary

Addresses

Primary practice location

13048 Angeles Trail Way
Sylmar, CA 91342-3479

Mailing address

13048 Angeles Trail Way
Sylmar, CA 91342-3479
Phone (310) 497-1933

Other practice location 1

14724 Ventura Blvd Ste 1105
Sherman Oaks, CA 91403-3510
Phone (310) 497-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1538014238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13048 ANGELES TRAIL WAY",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423479",
            "telephone_number": "310-497-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13048 ANGELES TRAIL WAY",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423479",
            "telephone_number": "310-497-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14724 Ventura Blvd Ste 1105",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033510",
            "country_code": "US",
            "telephone_number": "310-497-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KENDRA",
        "middle_name": "OYESANYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.