Healthcare Provider Details

I. General information

NPI: 1790614683
Provider Name (Legal Business Name): CAR'VEIJA LAQUEATA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S J ST APT 4
LAKE WORTH BEACH FL
33460-4152
US

IV. Provider business mailing address

201 S J ST APT 4
LAKE WORTH BEACH FL
33460-4152
US

V. Phone/Fax

Practice location:
  • Phone: 239-895-6769
  • Fax:
Mailing address:
  • Phone: 239-895-6769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: