Active NPI
Stephanie Lorraine Williams
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1194499764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 14804 N Cave Creek Rd # 212
Phoenix, AZ 85032-4945 - Phone
- (602) 330-1594
- Fax
- (602) 585-0611
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
14804 N Cave Creek Rd # 212
Phoenix, AZ 85032-4945
Mailing address
14804 N Cave Creek Rd # 212
Phoenix, AZ 85032-4945
Phone (602) 330-1594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings With Peace LLC | Current | Accepting new patients |
Locations
14804 N Cave Creek Rd
#212
Phoenix, AZ 85032
Phone (602) 330-1594
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Scottsdale, AZ
- NPI 1386304715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1194499764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14804 N CAVE CREEK RD # 212",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324945",
"telephone_number": "602-330-1594",
"fax_number": "602-585-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14804 N CAVE CREEK RD # 212",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324945",
"telephone_number": "602-330-1594",
"fax_number": "602-585-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STEPHANIE",
"middle_name": "LORRAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.