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

Mr. Willie Conley IV

Individual provider Behavior Technician · NPI 1023848595

Mr. Willie Conley IV is a Behavior Technician in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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Practice location Address checks out

5707 N 22nd St
Tampa, FL 33610-4350
Phone: (813) 239-8069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1023848595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2024
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address5611 E 29th Ave, Tampa, FL 33619-1513

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