Healthcare Provider Details

I. General information

NPI: 1124931043
Provider Name (Legal Business Name): JAMESHA BRENEA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E MULBERRY ST STE E
ANGLETON TX
77515-3907
US

IV. Provider business mailing address

1100 E MULBERRY ST STE E
ANGLETON TX
77515-3907
US

V. Phone/Fax

Practice location:
  • Phone: 786-659-9925
  • Fax: 979-946-4024
Mailing address:
  • Phone: 786-659-9925
  • Fax: 979-946-4024

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: