Melody Qiana Willis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6433 Topanga Canyon Blvd # 167
Woodland Hills, CA 91303-2621

Phone

(818) 430-2128

NPI assigned

Apr 16, 2021

Sex

Female

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

Practice roles

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

• Behavior Momentum Solutions Inc

  • Behavior Analyst
  • Mojave, CA
  • NPI 1114884970
  NPD Authorized official

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1760063267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 TOPANGA CANYON BLVD # 167",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913032621",
            "telephone_number": "818-430-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 TOPANGA CANYON BLVD # 167",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913032621",
            "telephone_number": "818-430-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MELODY",
        "middle_name": "QIANA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan C Williams
• Matthew T Williams I
• Richard B. Williams, MD
• Savannah Shaye Williams
• Zekara Akeema Williams
• Myreion Willis
• Stephanie R Willis
• Willow Medical Center
• Willows Hospice
• James Anthony Wilson, PA

• Behavior Analyst in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.