Kejuan Sullivan Williams
Behavior Technician
6267 Webster Church Rd # A
Dexter
, Michigan 48130-9659
Kejuan Sullivan Williams
Behavior Technician
6267 Webster Church Rd # A
Dexter
, Michigan 48130-9659
(313) 492-4337
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Kejuan Sullivan Williams
- 16789 Chandler Rd Apt 121d
- East Lansing, MI
- Zip : 48823-8561
- Phone : (313) 492-4337
Second Address
- Kejuan Sullivan Williams
- 6267 Webster Church Rd # A
- Dexter, MI
- Zip : 48130-9659
- Fax : (844) 272-1304
- Phone : (734) 972-2550
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FAQs
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Is Kejuan Sullivan Williams accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003381567 |
|---|---|
| Provider Name | Kejuan Sullivan Williams |
| First Address | East Lansing, MI 48823-8561 |
| Second Address | Dexter, MI 48130-9659 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| W452465778878 | DRIVERS LICENSE NUMBER (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.