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

Mark Lavont Willis

Individual provider Behavior Technician · NPI 1780355578

Mark Lavont Willis is a Behavior Technician in Landover, Maryland. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

8200 Professional Pl Ste 115
Landover, MD 20785-2293
Phone: (240) 297-3550
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1780355578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing address2550 N Hollywood Way Ste 102, Burbank, CA 91505-5031

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