MEDICARE: JANICE 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	103K00000X	Behavior Analyst
2	103K00000X	Behavior Analyst	1-15-21300	NC

General Provider Information

NPI Number	:	1770943938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE WILLIAMS BCBA

Provider Business Mailing Address
First Line	:	5948 FISHER RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-5640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5948 FISHER RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-5640
Country	:	US
Telephone Number	:	805-549-1484
Fax Number	:	910-766-6080

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

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	11/09/2022

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Directions to “ JANICE WILLIAMS BCBA” Practice Location

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