Healthcare Provider Details

I. General information

NPI: 1093679912
Provider Name (Legal Business Name): CALLIOPE JAYNE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 W 15TH ST STE 600
EDMOND OK
73013-3672
US

IV. Provider business mailing address

900 NE 122ND ST APT 903
OKLAHOMA CITY OK
73114-9100
US

V. Phone/Fax

Practice location:
  • Phone: 405-562-6072
  • Fax:
Mailing address:
  • Phone: 405-889-3863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: