MEDICARE: MARQUEZIA WILLIAMS 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
1	106S00000X	Behavior Technician	RBT-21-183171	OH
2	103K00000X	Behavior Analyst	1-25-81822	OH

General Provider Information

NPI Number	:	1699443929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUEZIA WILLIAMS BCBA

Provider Business Mailing Address
First Line	:	6000 JAYCOX RD APT 101
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-1672
Country	:	US
Telephone Number	:	440-305-0724
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 JAYCOX RD APT 101
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-1672
Country	:	US
Telephone Number	:	440-305-0724
Fax Number	:

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

Provider Enumeration Date	:	09/01/2021
Last Update Date	:	05/09/2026

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