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

Mrs. Sydney Lane Willis

Individual provider Behavior Technician · NPI 1073189072

Mrs. Sydney Lane Willis is a Behavior Technician in Georgetown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2021.

Licensed in
KY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

104 Market Path
Georgetown, KY 40324-1579
Phone: (502) 632-6241
Fax: (502) 427-0854
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (KY)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1073189072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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