Active NPI
Willow ABA Services
- Behavior Analyst
- Harker Heights, TX
National Provider Identifier
1679193528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- WILLOW ABA SERVICES
- Practice address
- 904 Mountain Lion Cir Ste 400
Harker Heights, TX 76548-5725 - Phone
- (913) 375-3626
- NPI assigned
- Apr 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanner Sierks
- Title
- Owner
- Phone
- (914) 375-3626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
904 Mountain Lion Cir Ste 400
Harker Heights, TX 76548-5725
Mailing address
7150 Campus Dr Ste 290
Colorado Springs, CO 80920-6508
Phone (800) 345-0448
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@willowaba.com | Direct | Willow ABA Services |
National Provider Directory
National Provider DirectoryLocations
904 Mountain Lion Cir
Ste 400
Harker Heights, TX 76548
Phone (913) 375-3626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1679193528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 CAMPUS DR STE 290",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809206508",
"telephone_number": "800-345-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 MOUNTAIN LION CIR STE 400",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765485725",
"telephone_number": "913-375-3626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW ABA SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-21",
"last_updated": "2023-11-27",
"certification_date": "2020-04-21",
"status": "A",
"authorized_official_last_name": "SIERKS",
"authorized_official_first_name": "TANNER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-375-3626"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@willowaba.com",
"affiliation": "Y",
"affiliationName": "Willow ABA Services",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "904 Mountain Lion Cir Ste 400",
"city": "Harker Heights",
"state": "TX",
"country_code": "US",
"postal_code": "765485725",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.