Individual
ROBERT WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6311 N 15TH ST, LINCOLN, NE 68521-8976
(925) 980-9214
Mailing address
6311 N 15TH ST, LINCOLN, NE 68521-8976
(925) 980-9214
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
03/17/2018
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