Individual
DAWN WILLIS
Active
Individual
DAWN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT, MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
44SL06353200
NJ
Other
Enumeration date
11/02/2015
Last updated
05/15/2023
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