Healthcare Provider Details

I. General information

NPI: 1013828672
Provider Name (Legal Business Name): BROOKE MCKENZIE WILLIAMS BCBA; LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25663 SMOTHERMAN RD
FRISCO TX
75033-4756
US

IV. Provider business mailing address

25663 SMOTHERMAN RD BLDG A
FRISCO TX
75033-4756
US

V. Phone/Fax

Practice location:
  • Phone: 469-840-2434
  • Fax:
Mailing address:
  • Phone: 469-840-2432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBHV-010991
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: