Healthcare Provider Details

I. General information

NPI: 1710896592
Provider Name (Legal Business Name): JULIE ANNE WILLIAMS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 BAYPOINTE DR
NEWPORT BEACH CA
92660-8517
US

IV. Provider business mailing address

1412 BAYPOINTE DR
NEWPORT BEACH CA
92660-8517
US

V. Phone/Fax

Practice location:
  • Phone: 949-287-3683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: