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NPI Code Detail

MEDICARE: KYA WILLIAMS M.S. BCBA, LBA

MEDICARE: KYA WILLIAMS M.S. BCBA, LBA
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
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912327925
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYA WILLIAMS M.S. BCBA, LBA
Provider Business Mailing Address
First Line : 27777 INKSTER RD STE 100
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5312
Country : US
Telephone Number : 248-220-7980
Fax Number :
Provider Business Practice Location Address
First Line : 9040 ROSWELL RD STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30350-1863
Country : US
Telephone Number : 470-655-1970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 01/14/2026

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