MEDICARE: JOHN L WILLIAMS II

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		WA
2	101Y00000X	Counselor		WA

General Provider Information

NPI Number	:	1245749027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN L WILLIAMS II

Provider Business Mailing Address
First Line	:	4575 SE DIXIE HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 POPLAR PL S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2827
Country	:	US
Telephone Number	:	206-346-2055
Fax Number	:

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

Provider Enumeration Date	:	09/25/2017
Last Update Date	:	12/14/2025

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