James Willis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667

Phone

(925) 256-1100

Fax

(925) 256-1100

NPI assigned

Nov 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1639773583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 240",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982667",
            "telephone_number": "925-256-1100",
            "fax_number": "925-256-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 240",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982667",
            "telephone_number": "925-256-1100",
            "fax_number": "925-256-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4410 Red Maple Ct",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945214434",
            "country_code": "US",
            "telephone_number": "925-586-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakia Williams
• Iris Williamson
• Chelsy Willis, BA
• Cymone Willis
• Gregory Lee Willis
• Janae Willis
• Michelle Willis
• Robinson B Wills, P.T.
• Andrea Wilson, BCBA
• Angela Jeanine Wilson, PA

• Behavior Technician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; 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.