Individual provider Active NPI

Rachel Lynn Willis

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1801413190
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-553 Issued in HI
Practice address
60 N Beretania St Apt 1406
Honolulu, HI 96817-4757
Phone
(801) 810-8346
Fax
(808) 490-0497
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-553 HI Primary

Addresses

Primary practice location

60 N Beretania St Apt 1406
Honolulu, HI 96817-4757

Mailing address

3642 Highway 1
Davenport, CA 95017-9705
Phone (510) 542-9680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BA-553HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality ABA LLC Behavior Analyst CurrentSince Mar 1, 2023 Accepting new patients

Locations

95-390 Kuahelani Ave
Ste 3AC5140
Mililani, HI 96789
Phone (801) 810-8346

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1801413190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 HIGHWAY 1",
            "city": "DAVENPORT",
            "state": "CA",
            "postal_code": "950179705",
            "telephone_number": "510-542-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N BERETANIA ST APT 1406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174757",
            "telephone_number": "801-810-8346",
            "fax_number": "808-490-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.