Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennesha Nicole Willis

Individual provider Behavior Technician · NPI 1558083147

Kennesha Nicole Willis is a Behavior Technician in Rockville, Maryland. Licensed in Maryland. Registered with an NPI since 2022.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

1390 Piccard Dr Ste 100
Rockville, MD 20850-4368
Phone: (301) 327-5199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MD)

Record details

NPI number1558083147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

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