Angela Willis

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

296413 Issued in KY

Practice address

208 S 6TH St
Murray, KY 42071-2516

Phone

(270) 807-0335

NPI assigned

Mar 28, 2019

Last updated

Jan 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates in Pediatric Therapy, LLC

  dba Associates in Pediatric Therapy

  • Rehabilitation Clinic/Center
  • Shelbyville, KY
  • NPI 1396910840
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1700347119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S 6TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712516",
            "telephone_number": "270-807-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-19-89190",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "KY",
            "license": "296413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Kay Williams, APRN
• Charlsie Rhea Williams, PHARM.D
• Jesse Carl Williams, O.D.
• Robert T Williams, M.D.
• Chloe Williamson
• Amber Dawn Wilson, MSPT, DPT
• William Ryker Wilson
• Carolyn Winchester, DNP
• Scott R Winkler, PT, DPT
• Whitney Wolfe, DO

• Assistant Behavior Analyst in Murray, KY
• Providers in Murray, KY by specialty
• Assistant Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.