MEDICARE: BRYANNA WILLIAMS RBT

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
1	106S00000X	Behavior Technician	RBT-22-233592	WY

General Provider Information

NPI Number	:	1083335061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANNA WILLIAMS RBT

Provider Business Mailing Address
First Line	:	606 S DAVID ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-3136
Country	:	US
Telephone Number	:	307-250-6631
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 S DAVID ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-3136
Country	:	US
Telephone Number	:	307-250-6631
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2022
Last Update Date	:	01/26/2026

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Directions to “ BRYANNA WILLIAMS RBT” Practice Location

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