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NPI Code Detail

MEDICARE: BRITTNI JENE' WILLIAMS MED, BCBA

MEDICARE:   BRITTNI JENE' WILLIAMS  MED, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-18-29173GA

General Provider Information

NPI Number : 1083171714
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNI JENE' WILLIAMS MED, BCBA
Provider Business Mailing Address
First Line : 2260 NORTHLAKE PKWY STE 100
Second Line :
City : TUCKER
State : GA
Zip : 30084-4006
Country : US
Telephone Number : 404-594-1268
Fax Number : 404-883-3991
Provider Business Practice Location Address
First Line : 2260 NORTHLAKE PKWY STE 100
Second Line :
City : TUCKER
State : GA
Zip : 30084-4006
Country : US
Telephone Number : 404-594-1268
Fax Number : 404-883-3991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2019
Last Update Date : 09/20/2020

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Directions to “ BRITTNI JENE' WILLIAMS MED, BCBA” Practice Location

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