Ian Williamson, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

88 Bank St
New London, CT 06320-6083

Phone

(860) 495-3658

NPI assigned

Feb 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Hopebridge LLC

  • Child & Adolescent Psychiatry Physician
  • Mesa, AZ
  • NPI 1730727645

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1164922241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206083",
            "telephone_number": "860-495-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206083",
            "telephone_number": "860-495-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "IAN",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1191",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "887",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-19-38401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marie Wilks, PHARMD
• Shannon Lee Wilks, MSW
• Judith G Williams, LMFT
• Karen A Williams, APRN
• Sandra Lynn Williams, RN
• Dean Norman Willis, M.D.
• Tayla Jean Willson, PA-C
• Dania Alexa Wilson, NP
• Rebecca Wine, M.A. CCC-SLP
• Molly Winship, LCSW

• Behavior Analyst in New London, CT
• Providers in New London, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.