MEDICARE: NEJAHLEE 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	106E00000X	Assistant Behavior Analyst		FL

General Provider Information

NPI Number	:	1811862063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEJAHLEE WILLIAMS

Provider Business Mailing Address
First Line	:	781 SPRINGDALE CIR
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1538
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	781 SPRINGDALE CIR
Second Line	:	1533 44TH STREET
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1538
Country	:	US
Telephone Number	:	561-370-8567
Fax Number	:

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

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	10/08/2025

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