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

Nyriesha Willis

Individual provider Behavior Technician · NPI 1205402096

Nyriesha Willis is a Behavior Technician in Blacklick, Ohio. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1582 N Waggoner Rd
Blacklick, OH 43004-8669
Phone: (303) 989-8169
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 number1205402096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address1582 N Waggoner Rd, Blacklick, OH 43004-8669

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