Theodore Jim Willis III
Theodore Jim Willis III is a Behavior Analyst in Stockton, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1811 Grand Canal Blvd Ste 2Stockton, CA 95207-8107
Phone: (888) 880-9270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X (CA) |
|---|
Record details
| NPI number | 1104506856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 18, 2023 |
| Last updated in NPPES | July 18, 2023 |
| Certification date | July 18, 2023 |
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