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NPI 1740197201

NPI 1740197201 : CHRISTOPHER JORDAN WILLIAMS M.S. LBS : BRIDGEVILLE, PA

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General NPI Number Information
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    NPI Number           |    1740197201
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER JORDAN WILLIAMS M.S. LBS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/27/2026
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    Last Update Date     |    08/27/2026
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Provider Practice Location Address
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    Address Line         |    600 OLD POND RD STE 501 
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    City                 |    BRIDGEVILLE
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    State                |    PA
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    Zip                  |    15017-1273
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    Country              |    US
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    Telephone            |    833-867-8371
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 OLD POND RD STE 501 
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    City                 |    BRIDGEVILLE
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    State                |    PA
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    Zip                  |    15017-1273
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    Country              |    US
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    Telephone            |    833-867-8371
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    BH008715
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    License Number State |    PA
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