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NPI Code Detail

MEDICARE: TIERA WILLIAMS

MEDICARE: TIERA 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
1103K00000XBehavior AnalystGA

General Provider Information

NPI Number : 1972381606
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIERA WILLIAMS
Provider Business Mailing Address
First Line : 816 RAVINS WAY
Second Line :
City : STOCKBRIDGE
State : GA
Zip : 30281-6046
Country : US
Telephone Number : 706-513-1968
Fax Number :
Provider Business Practice Location Address
First Line : 2227 GODBY RD
Second Line :
City : ATLANTA
State : GA
Zip : 30349-5020
Country : US
Telephone Number : 706-513-1968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2023
Last Update Date : 05/13/2026

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Directions to “ TIERA WILLIAMS ” Practice Location

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