Healthcare Provider Details

I. General information

NPI: 1831834977
Provider Name (Legal Business Name): CLIFFORD WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 W SAM HOUSTON PKWY S STE 305
HOUSTON TX
77042-1949
US

IV. Provider business mailing address

4006 PRESIDENTS CT
HOUSTON TX
77047-6759
US

V. Phone/Fax

Practice location:
  • Phone: 855-788-0500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBHV-010751
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: