Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | ||
N | 156F00000X | Technician/Technologist |
NPI | 1083260939 |
---|---|
Provider Name | Nigel Ellis Williams |
First Address | Bingham Farms, MI 48025-2454 |
Second Address | Farmington Hills, MI 48334-5326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2019 |
Last Update Date | 17/04/2020 |