Healthcare Provider Details

I. General information

NPI: 1992633978
Provider Name (Legal Business Name): JOSIAH WILLMS RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 WESTERLY DR
FRANKLIN TN
37067-8594
US

IV. Provider business mailing address

3031 WESTERLY DR
FRANKLIN TN
37067-8594
US

V. Phone/Fax

Practice location:
  • Phone: 615-663-8872
  • Fax: 615-628-8935
Mailing address:
  • Phone: 615-663-8872
  • Fax: 615-628-8935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-535744
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: