Jannel Jessi Williams

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8480 Baltimore National Pike
#126 Suite 3210
Ellicott City, MD 21043

Phone

(914) 713-7974

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Awaken Licensed Applied Behavioral Analysis Services PLLC

  • Behavior Analyst
  • Ellicott City, MD
  • NPI 1174097547
  NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1104556257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SAINT PAUL ST APT 2E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022652",
            "telephone_number": "240-444-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 BALTIMORE NATIONAL PIKE",
            "address_2": "#126 SUITE 3210",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "914-713-7974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Saint Paul St Apt 2E",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022652",
            "country_code": "US",
            "telephone_number": "240-444-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JANNEL",
        "middle_name": "JESSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45902189200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Wilkerson, PH.D
• Tyeisha Wilkins Witherspoon, AGPCNP
• Florica Willard, LCMFT
• Adolphus Williams
• Cicely Williams
• Lauren Keane Williams, LCSW-C
• Robert Wade Williams
• Tracey Lynne Williams, LCSW,C
• Abigail Mina Stringer Willitsford, D.M.D.
• Curtis Wills, MS, MS, MS, CES, ATC

• Behavior Technician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.