Healthcare Provider Details

I. General information

NPI: 1811580202
Provider Name (Legal Business Name): KAYANA WASHINGTON WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 C ST
SACRAMENTO CA
95816-3326
US

IV. Provider business mailing address

3101 SUNSET BLVD
ROCKLIN CA
95677-3095
US

V. Phone/Fax

Practice location:
  • Phone: 916-442-2396
  • Fax:
Mailing address:
  • Phone: 916-773-0211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: