IndividualActive
Angela Willis
NPI 1700347119 · Assistant Behavior Analyst · Murray, KY
Provider details
- NPI number
- 1700347119
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-19-89190 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
208 S 6th St
Murray, KY 42071-2516
Phone: (270) 807-0335
Approximate (ZIP-level) locationGet directions
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Registry dates
- Enumerated
- 2019-03-28
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.