IndividualActive
Amanda Wills
NPI 1073469615 · Behavior Analyst · Grove, OK
Provider details
- NPI number
- 1073469615
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-26-87571 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1629 S Main St
Grove, OK 74344-5368
Phone: (918) 557-4496
Approximate (ZIP-level) locationGet directions
Mailing address
1316 S Wilder Trl
Republic, MO 65738-2783
Registry dates
- Enumerated
- 2026-03-06
- Last updated
- 2026-03-06
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.