Nicole Williams, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16884

Practice address

2062 N Courtenay Pkwy
Merritt Island, FL 32953-4285

Phone

(321) 305-5576

NPI assigned

Dec 30, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Choices Behavioral Health LLC

  dba Choices Behavioral Health

  • Behavior Analyst
  • Merritt Island, FL
  • NPI 1417413055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1093103996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 N COURTENAY PKWY STE 903",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534285",
            "telephone_number": "321-305-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534285",
            "telephone_number": "321-305-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-16884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Willard
• Dionna Williams
• Erika Bree Williams, COTA
• Megan Williams
• Mia Lauren Williams, MS
• Travia D Williams, RN
• Ana Maria Williamsen, L.M.T.
• Stephanie M Williamson, LPN
• Bruce Ranne Wills, M.P.T.
• James Henry Wilson III, MD

• Behavior Analyst in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.