MEDICARE: KAYLA ANDERSON-WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-23-265211	GA

General Provider Information

NPI Number	:	1144159989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA ANDERSON-WILLIAMS

Provider Business Mailing Address
First Line	:	1442 JOHNNY FREEMAN RD
Second Line	:
City	:	COLQUITT
State	:	GA
Zip	:	39837-5737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 RIVER ST
Second Line	:
City	:	BAINBRIDGE
State	:	GA
Zip	:	39817-3654
Country	:	US
Telephone Number	:	229-495-3005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ KAYLA ANDERSON-WILLIAMS ” Practice Location

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