Willow Tree Behavior Analysis Consulting

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WILLOW TREE BEHAVIOR ANALYSIS CONSULTING

Practice address

90 Riggs Drive
4
Hannawa Falls, NY 13647

Phone

(315) 514-0059

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Audrey MarshallNPI 1326500810

Title

Owner/Behavior Analyst

Phone

(315) 842-1536

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Patricia Marshall

  • Behavior Analyst
  • Gastonia, NC
  • NPI 1326500810
  NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1902426695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "HANNAWA FALLS",
            "state": "NY",
            "postal_code": "136470005",
            "telephone_number": "315-842-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RIGGS DRIVE",
            "address_2": "4",
            "city": "HANNAWA FALLS",
            "state": "NY",
            "postal_code": "13647",
            "telephone_number": "315-514-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE BEHAVIOR ANALYSIS CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "315-842-1536"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey@willowtreebehaviorconsulting.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "90 Riggs Drive",
            "address_2": "4",
            "city": "Hannawa Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.