Healthcare Provider Details

I. General information

NPI: 1548971070
Provider Name (Legal Business Name): VERONICA L WILLIAMS RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 12/06/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PARK AVE STE 1300
OKLAHOMA CITY OK
73102-7216
US

IV. Provider business mailing address

101 PARK AVE STE 1300
OKLAHOMA CITY OK
73102-7216
US

V. Phone/Fax

Practice location:
  • Phone: 646-873-6600
  • Fax:
Mailing address:
  • Phone: 615-588-2772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-191607
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: