Organization Active NPI

Willa Tree Connections, PLLC

  • Behavior Analyst
  • McMinnville, TN
National Provider Identifier
1548984701
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WILLA TREE CONNECTIONS, PLLC
Practice address
100 Center St Ste B
McMinnville, TN 37110-2173
Phone
(931) 208-2910
NPI assigned
Sep 30, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Ms. Jennifer R Burks, M.ED., BCBA, LBANPI 1609182633
Title
Director/Owner
Phone
(931) 208-2910

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

100 Center St Ste B
McMinnville, TN 37110-2173

Mailing address

PO Box 77
Smartt, TN 37378-0077
Phone (931) 208-2910

National Provider Directory

National Provider Directory

Locations

100 Center St
Ste B
McMinnville, TN 37110
Phone (931) 208-2910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1548984701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "SMARTT",
            "state": "TN",
            "postal_code": "373780077",
            "telephone_number": "931-208-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTER ST STE B",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102173",
            "telephone_number": "931-208-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLA TREE CONNECTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "931-208-2910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.