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NPI Code Detail

MEDICARE: NICHOLAS JAI WILLIAMS II

MEDICARE: NICHOLAS JAI WILLIAMS II
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1629925789
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS JAI WILLIAMS II
Provider Business Mailing Address
First Line : 2200 GEARY ST
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-5180
Country : US
Telephone Number : 404-951-3522
Fax Number :
Provider Business Practice Location Address
First Line : 3840 ROSIN CT
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1639
Country : US
Telephone Number : 916-374-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ NICHOLAS JAI WILLIAMS II ” Practice Location

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