Organization Active NPI

Willow ABA Services

  • Behavior Analyst
  • Harker Heights, TX
National Provider Identifier
1679193528
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Nov 27, 2023

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address info@willowaba.com Direct Willow ABA Services

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.