Healthcare Provider Details

I. General information

NPI: 1982385621
Provider Name (Legal Business Name): DAIZA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 HEALTH PARK STE 10
RALEIGH NC
27615-4731
US

IV. Provider business mailing address

8300 HEALTH PARK STE 10
RALEIGH NC
27615-4731
US

V. Phone/Fax

Practice location:
  • Phone: 704-780-4271
  • Fax:
Mailing address:
  • Phone: 704-780-4271
  • 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: