Shara Willams

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

3440 E Russell Rd
#206
Las Vegas, NV 89120

Phone

(702) 214-4298

Fax

(702) 214-4254

NPI assigned

Sep 15, 2017

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

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881113330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E RUSSELL RD # 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202201",
            "telephone_number": "702-214-4298",
            "fax_number": "702-214-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E RUSSELL RD",
            "address_2": "#206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-214-4298",
            "fax_number": "702-214-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLAMS",
        "first_name": "SHARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Wilks
• Treveon Wilks
• Ida Bernadette Plaza Will, APN-C
• Jeremy Will, RD/LD
• Grace Willams
• Dawn M. Willard, APN
• Jaden Willard, DMD
• Joshua Willard
• Quianna Willard, OTR/L
• Stacy Willard

• Assistant Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assistant Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.