NPIMap

Organization Active NPI

Willow ABA Services

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1649914573
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WILLOW ABA SERVICES
Practice address
3409 North 7TH Ave
PMB 707
Phoenix, AZ 85013
Phone
(720) 319-7614
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Elle PhelpsNPI 1063934222
Title
Coo
Phone
(614) 354-2249

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 AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3409 North 7TH Ave
PMB 707
Phoenix, AZ 85013

Mailing address

8000 S Lincoln St Ste 10
Littleton, CO 80122-2725
Phone (720) 319-7614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1649914573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 S LINCOLN ST STE 10",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222725",
            "telephone_number": "720-319-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 NORTH 7TH AVE",
            "address_2": "PMB 707",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "720-319-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW ABA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-09-06",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "ELLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "614-354-2249"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.