SAM WILLIS
NPI 1326852609
Behavior Technician in Honolulu, HI

Q: What is Sam Willis's NPI number?

The NPI number for Sam Willis is 1326852609. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Q: What is Sam Willis's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Willis was last updated on February 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 05, 2025

4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818(808) 486-2804 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sam Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM WILLIS (NPI 1326852609) is an individual behavior technician in Honolulu, Hawaii, licensed in Hawaii (RBT-25-406416) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1326852609

Entity TypeIndividualMale

Primary Taxonomy106S00000X

Provider Legal NameSAM WILLIS

Location Address4510 SALT LAKE BLVD STE D8Honolulu, HI 96818-3172

Mailing Address86-222 Kawili StWaianae, HI 96792-2935 · (808) 387-6319

Phone(808) 486-2804

Sole ProprietorNo

Enumeration DateFebruary 5, 2025

NPPES CertifiedFebruary 5, 2025

✔ NPI 1326852609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

License✔ Licensed in HI · RBT-25-406416

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

4510 SALT LAKE BLVD STE D8, Honolulu, HI 96818

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