Healthcare Provider Details

I. General information

NPI: 1891607925
Provider Name (Legal Business Name): ANDREW WILLIAMS RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N PALAFOX ST STE 103
PENSACOLA FL
32501-2678
US

IV. Provider business mailing address

1300 N PALAFOX ST STE 103
PENSACOLA FL
32501-2678
US

V. Phone/Fax

Practice location:
  • Phone: 850-860-2903
  • Fax:
Mailing address:
  • Phone: 850-860-2903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2848551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: