ANDREW JOHN WILLIS (NPI# 1861045676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861045676 |
| Entity Type | Individual |
| Full Name | ANDREW JOHN WILLIS |
| Practice Address |
1855 2nd St Ste B Concord CA 94519-2623 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 9252399640 |
| Mailing Telephone | 9498332237 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831599943 | Andrew Howard Willis | Physical Therapist | 924 Main St, Niagara Falls, NY 14301-1110 | 2014-08-26 |
| 1891844395 | Andrew Ryan Willis | Pharmacist | 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 | 2007-01-10 |
| 1154412187 | Andrew Willis | Specialist | 160 E Hanover Ave, Morristown, NJ 07960-3150 | 2006-09-27 |
| 1578517603 | Andrew Kenneth Willis | Emergency Medicine | 1201 W 38th St, Austin, TX 78705-1006 | 2006-05-22 |
| Street Address |
1855 2ND ST STE B |
| City | CONCORD |
| State | CA |
| Zip Code | 94519-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548301781 | Angelique Amber Howard | Marriage & Family Therapist | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2007-02-09 |
| 1619580198 | Francesca Reyna | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-08-25 |
| 1003429572 | Mariah Harvey | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-08-25 |
| 1053923383 | Miwa Tucker | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-08-18 |
| 1235740424 | Marshall Pangilinan | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-08-12 |
| 1154939668 | Amaryllis Cruz | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-07-21 |
| 1730797242 | Lidia Robles | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-07-21 |
| 1841814266 | Elizabeth Razo | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-06-01 |
| 1679197099 | Roberto Ruiz | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-06-01 |
| 1093339418 | Lance Wills Jr. | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
| 1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
| 1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
| 1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
| 1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
| 1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
| Find all providers in zip 94519 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502529 | Jessica Shortell | Behavior Technician | 1530 Chatham Ct Nw, Concord, NC 28027-8894 | 2020-09-09 |
| 1821602384 | Kaitlynn Driggers | Behavior Technician | 900 Branchview Dr Ne Ste B, Concord, NC 28025-2213 | 2020-09-02 |
| 1174140032 | Meredith Carpenter | Behavior Technician | 1200 Concord Ave Ste 1001200, Concord, CA 94520-4915 | 2020-06-26 |
| 1700414794 | Gemmy Moreno | Behavior Technician | 555 Virginia Rd, Concord, MA 01742-2770 | 2020-03-27 |
| 1407489461 | Ayanna Monique Marsh | Behavior Technician | 84 Todd Dr Ne, Concord, NC 28025-3143 | 2020-02-18 |
| 1972135457 | Jessica Grace Dilorenzo | Behavior Technician | 3604 Courage Ct Sw, Concord, NC 28027-2719 | 2020-02-12 |
| 1851923007 | Jessica Rubin | Behavior Technician | 3930 Newcastle Rd, Concord, CA 94519-1221 | 2020-02-05 |
| 1093346538 | Eric'ka Leonna Malone | Behavior Technician | 1835 Robin Ln Apt 1, Concord, CA 94520-3821 | 2020-02-03 |
| 1518505221 | Zachary Miles Pelkey | Behavior Technician | 575 Virginia Rd, Concord, MA 01742-2761 | 2019-12-12 |
| 1508404385 | Mattea Hakala | Behavior Technician | 575 Virginia Rd Ste 310b, Concord, MA 01742-2761 | 2019-12-12 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.