Jasmin Nechelle Williams

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-332055 Issued in GA

Practice address

3484 Lachlan Dr
Snellville, GA 30078-6001

Phone

(404) 889-8763

Fax

(404) 800-0093

NPI assigned

Mar 12, 2024

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Georgia Regional Behavioral Services

  • Behavior Analyst
  • Lilburn, GA
  • NPI 1083177430
  NPD

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1194583138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HIGHWAY 279",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142606",
            "telephone_number": "312-998-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3484 LACHLAN DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786001",
            "telephone_number": "404-889-8763",
            "fax_number": "404-800-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASMIN",
        "middle_name": "NECHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-24-332055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://login.centralreach.com/",
            "affiliation": "N",
            "endpointDescription": "This is where employees will have access to your clients, communicate with your colleagues, and view their timesheets.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "648 Highway 279, Fayetteville, GA 30214",
            "address_1": "3484 Lachlan Dr",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300786001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adriana Williams
• Aneka Fawn Williams, NP
• Angel Dametrea Williams, DPT
• Brittany Williams, DC
• India Williams
• Jehmira Williams
• Larhonda B Williams, M.ED, LPC, NCC
• Mark Williams
• Sanona Williams, LPC
• Toiya Danielle Williams, LAMFT

• Behavior Technician in Snellville, GA
• Providers in Snellville, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.