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WILLOW BEHAVIOR SPECIALISTS
NPI 1356197487
Assistant Behavior Analyst in Saint Joseph, MI

Active since April 29, 2024
2400 NILES AVE, SAINT JOSEPH, MI 49085(262) 337-2292 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Apr 29, 2024 (2 updates tracked since 2024).

About Willow Behavior Specialists NPPES

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

WILLOW BEHAVIOR SPECIALISTS (NPI 1356197487) is a healthcare organization registered as an assistant behavior analyst in Saint Joseph, Michigan and active in the NPI registry since April 2024. The organization lists Lacy M Wolter, Owner, as its authorized official.

NPPES Registry Identity

NPI1356197487
Entity TypeOrganization
Primary Taxonomy106E00000X
Legal Business NameWILLOW BEHAVIOR SPECIALISTS
Location Address2400 NILES AVESaint Joseph, MI 49085-1922
Mailing Address2400 Niles AveSaint Joseph, MI 49085-1922 · (262) 337-2292
Phone(262) 337-2292
Organization SubpartNo
Authorized OfficialLacy M WolterOwner · (262) 337-2292
Enumeration DateApril 29, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1356197487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code106E00000X
Definition
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
2400 NILES AVE, Saint Joseph, MI 49085
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMBER ROSE MEYERS
Behavior Technician
2400 NILES AVE
SAINT JOSEPH, MI 49085
Berrien County (262) 337-2292
MAJESTY KATHREN RICHARDSON
Behavior Technician
2400 NILES AVE
SAINT JOSEPH, MI 49085
Berrien County (262) 337-2292
SARA AGUSTO CARDOZA
Behavior Technician
2400 NILES AVE
SAINT JOSEPH, MI 49085
Berrien County (262) 337-2292
NY'JA EDDIE
Behavior Technician
2400 NILES AVE
SAINT JOSEPH, MI 49085
Berrien County (262) 337-2292
MICHAELA TURK
Behavior Technician
2400 NILES AVE
SAINT JOSEPH, MI 49085
Berrien County (262) 337-2292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Behavior Specialists's NPI number?

The NPI number for Willow Behavior Specialists is 1356197487. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Willow Behavior Specialists located?

Willow Behavior Specialists is located at 2400 Niles Ave, Saint Joseph, MI 49085. The listed phone number is (262) 337-2292.

What is Willow Behavior Specialists's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

When was this NPI record last updated?

The NPPES record for Willow Behavior Specialists was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.