Individual provider · Type 1 NPI

Sydney Lane Willis

Behavior Analyst · Georgetown, KY

NPI number 1073189072 Active

Practice location

104 Market Path
Georgetown, KY 40324-1579

Call (502) 632-6241 Map

Fax (502) 427-0854

Mailing address

7500 San Felipe St Ste 990
Houston, TX 77063-1708

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1073189072

Sydney Lane Willis's National Provider Identifier is 1073189072, issued on Jun 1, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Georgetown, KY. The record was last updated on Jun 18, 2025.