Healthcare Provider Details

I. General information

NPI: 1134850472
Provider Name (Legal Business Name): DANIEL WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13538 VILLAGE PARK DR UNIT 145
ORLANDO FL
32837-3600
US

IV. Provider business mailing address

14763 HUNTCLIFF PARK WAY
ORLANDO FL
32824-5709
US

V. Phone/Fax

Practice location:
  • Phone: 407-730-2948
  • Fax:
Mailing address:
  • Phone: 407-730-2948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: