Destiny Mariah Williams

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

905 Kalanianaole Hwy SPC 5001
Kailua, HI 96734-4669

Phone

(808) 247-2973

Fax

(808) 427-3472

NPI assigned

Nov 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1134723448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 BROWN DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967346280",
            "telephone_number": "347-884-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 KALANIANAOLE HWY SPC 5001",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344669",
            "telephone_number": "808-247-2973",
            "fax_number": "808-427-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DESTINY",
        "middle_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "000043013627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily Wilkinson
• Samantha Wilkinson
• Sierra Danyell Will
• Doug Marlis Williams, PA
• Frank Allen Williams, M.D.
• Jenna Williams
• Jill S. Williams, PA-C
• Willow & Wildflower Counseling & Wellness

• Behavior Technician in Kailua, HI
• Providers in Kailua, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.