MEDICARE: ASHLEY WILLIAMS

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

General Provider Information

NPI Number	:	1922562529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY WILLIAMS

Provider Business Mailing Address
First Line	:	1447 GIBBS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78202-3240
Country	:	US
Telephone Number	:	210-748-3183
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 GIBBS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78202-3240
Country	:	US
Telephone Number	:	210-748-3183
Fax Number	:

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

Provider Enumeration Date	:	01/28/2019
Last Update Date	:	01/28/2019

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Directions to “ ASHLEY WILLIAMS ” Practice Location

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