Healthcare Provider Details

I. General information

NPI: 1417754276
Provider Name (Legal Business Name): JANETTE ELAINE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12811 Q ST
OMAHA NE
68137-3211
US

IV. Provider business mailing address

12811 Q ST
OMAHA NE
68137-3211
US

V. Phone/Fax

Practice location:
  • Phone: 402-230-5861
  • Fax: 531-200-5808
Mailing address:
  • Phone: 402-230-5861
  • Fax: 531-200-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-531351
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: