MS. SHANNON LEIGH WILLIS M.S.W., B.C.B.A.
NPI 1801249479
Behavior Analyst in Los Angeles, CA

Q: What is Shannon Willis's NPI number?

The NPI number for Shannon Willis is 1801249479. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Shannon Willis's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Willis was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since July 19, 2016

5777 W CENTURY BLVD, SUITE 675, LOS ANGELES, CA 90045(310) 649-0499 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Shannon Leigh Willis M.s.w., B.c.b.a. NPPES

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

MS. SHANNON LEIGH WILLIS M.S.W., B.C.B.A. (NPI 1801249479) is an individual behavior analyst provider in Los Angeles, California, licensed in California (1-14-15829) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1801249479

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMS. SHANNON LEIGH WILLISCredential: M.S.W., B.C.B.A.

Location Address5777 W CENTURY BLVD, SUITE 675Los Angeles, CA 90045-5600

Mailing Address5777 W Century Blvd, Suite 675Los Angeles, CA 90045-5600 · (310) 649-0499

Phone(310) 649-0499

Sole ProprietorYes

Enumeration DateJuly 19, 2016

✔ NPI 1801249479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-14-15829

Definition

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

5777 W CENTURY BLVD, Los Angeles, CA 90045

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Other Providers at the Same Location NPPES 11

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

MELINDA MESHAD

Social Worker (Clinical)

5777 W CENTURY BLVD
LOS ANGELES, CA 90045

Los Angeles County (805) 660-1452

WINGS OF REFUGE

Counselor (Mental Health)

5777 W CENTURY BLVD, SUITE 910
LOS ANGELES, CA 90045

Los Angeles County (310) 670-6767

MRS. AMBER ALLYN KERNS MA, BCBA

Behavior Analyst

5777 W CENTURY BLVD, SUITE 675
LOS ANGELES, CA 90045

Los Angeles County (310) 649-0499

TIANNA RAAHEAL TEKETSE

Counselor

5777 W CENTURY BLVD, SUITE 900
LOS ANGELES, CA 90045

Los Angeles County (310) 670-6767

PAULETTE L. BUCHANAN MFTI

Marriage & Family Therapist

5777 W CENTURY BLVD, STE 910
LOS ANGELES, CA 90045

Los Angeles County (310) 670-6767

MS. SAUNDRA JEAN EDWARDS MFT

Marriage & Family Therapist

5777 W CENTURY BLVD, SUITE 910
LOS ANGELES, CA 90045

Los Angeles County (323) 365-1856

WINGS OF REFUGE

Local Education Agency (LEA)

5777 W CENTURY BLVD, STE 910
LOS ANGELES, CA 90045

Los Angeles County (310) 670-6767

DR. LAURA HERNANDEZ PSY.D

Psychologist (Clinical)

5777 W CENTURY BLVD
LOS ANGELES, CA 90045

Los Angeles County (310) 871-0702

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 Shannon Willis's NPI number?

The NPI number for Shannon Willis is 1801249479. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Shannon Willis located?

Shannon Willis practices at 5777 W Century Blvd Suite 675, Los Angeles, CA 90045. The listed phone number is (310) 649-0499.

What is Shannon Willis's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shannon Willis was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.