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

Travis Willard

Individual provider Behavior Technician · NPI 1124697859

Travis Willard is a Behavior Technician in Cameron, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

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

Practice location Address checks out

1477 Nc 24-87
Cameron, NC 28326-6752
Phone: (910) 484-1711
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-69178 (NC)
Behavior Technician Taxonomy 106S00000X · Licence 11250 (NC)

Record details

NPI number1124697859
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 17, 2021
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing address2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283

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