Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 02011463 | GA |
N | 106S00000X | Behavior Technician | RBT-18-48196 | GA |
NPI | 1013401348 |
---|---|
Provider Name | Emily Anne Williams |
First Address | Richmond Hill, GA 31324-6162 |
Second Address | Savannah, GA 31405-7441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2018 |
Last Update Date | 13/10/2020 |