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Theodore Willis
NPI 1104506856 · Behavior Analyst · Stockton, CA
Theodore Willis is a Behavior Analyst provider in Stockton, CA (NPI 1104506856).
Provider details
- NPI number
- 1104506856
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (888) 880-9270
Street-level locationGet directions
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Frequently asked questions
- What is Theodore Willis's NPI number?
- Theodore Willis's National Provider Identifier (NPI) is 1104506856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Willis's specialty?
- Theodore Willis is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Theodore Willis located?
- Theodore Willis's practice location on file with NPPES is 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107.
- What is Theodore Willis's phone number?
- The practice phone number listed in the NPPES registry for Theodore Willis is (888) 880-9270.
- Is Theodore Willis's NPI active?
- Yes — Theodore Willis's NPI (1104506856) is active in the NPPES registry as of the last update on 2023-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.