Travis Willard

Behavior Analyst · Cameron, NC

Individual Active NPI

NPI number 1124697859

Practice location

1477 NC 24-87
Cameron, NC 28326-6752
Phone
(910) 484-1711

Open in Google Maps

NPI record

NPI
1124697859
Entity type
Individual (Type 1)
Enumeration date
June 17, 2021
Last updated
November 14, 2023
Certified
November 14, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-23-69178 NC
Behavior Technician 106S00000X 11250 NC

Mailing address

2919 Breezewood Ave Ste 101
Fayetteville, NC 28303-5283
Phone
(910) 484-1711

About Travis Willard

Travis Willard is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1477 NC 24-87, Cameron, NC 28326-6752. The NPI number 1124697859 was assigned on June 17, 2021 and the record was last updated on November 14, 2023.

Travis Willard lists 2 licenses in the registry: #1-23-69178 (NC) for Behavior Analyst; #11250 (NC) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Travis Willard?

The NPI number is 1124697859.

What is the phone number of Travis Willard?

The phone number listed for the practice location is (910) 484-1711.

Where is Travis Willard located?

1477 NC 24-87, Cameron, NC 28326-6752.

What is the taxonomy code for Travis Willard?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Analyst providers in Cameron

All Behavior Analyst providers in Cameron, NC →