Individual provider Active NPI

Melissa Noel Willauer, MS/BSL

  • Behavior Analyst
  • Douglassville, PA
National Provider Identifier
1639612872
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH002137 Issued in PA
Practice address
5 King St
Douglassville, PA 19518-9787
Phone
(484) 368-2062
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X BH002137 PA Primary

Addresses

Primary practice location

5 King St
Douglassville, PA 19518-9787

Mailing address

5 King St
Douglassville, PA 19518-9787
Phone (484) 368-2062

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

State licenses

LicenseStateTypeSpecialty
BH002137PAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1639612872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KING ST",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195189787",
            "telephone_number": "484-368-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KING ST",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195189787",
            "telephone_number": "484-368-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLAUER",
        "first_name": "MELISSA",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "MS/BSL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglassville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.