Active NPI
Tamisha Williams Redding
- Behavior Analyst
- Concord, CA
National Provider Identifier
1215668926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1200 Concord Ave Ste 100
Concord, CA 94520-4969 - Phone
- (855) 729-0453
- NPI assigned
- Jun 22, 2022
- 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
1200 Concord Ave Ste 100
Concord, CA 94520-4969
Mailing address
76-6218 Halehau St
Kailua Kona, HI 96740-3001
Phone (714) 717-4877
Other practice location 1
4952 Warner Ave Ste 300
Huntington Beach, CA 92649-5506
Phone (714) 587-9007
Other practice location 2
1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Phone (925) 914-0927
Other practice location 3
7 Waterfront Plaza 500 Ala Moana Blvd
Suite 400
Honolulu, HI 96813
Phone (808) 427-6522
Other names 1
- Tamisha Tinique Williams
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 |
|---|---|---|---|
| Center of Social Dynamics | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Huntington Beach, CA
- NPI 1265038400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1215668926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76-6218 HALEHAU ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403001",
"telephone_number": "714-717-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 100",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204969",
"telephone_number": "855-729-0453"
}
],
"practiceLocations": [
{
"address_1": "4952 Warner Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926495506",
"country_code": "US",
"telephone_number": "714-587-9007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Atlantic Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Alameda",
"state": "CA",
"postal_code": "945011188",
"country_code": "US",
"telephone_number": "925-914-0927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Waterfront Plaza 500 Ala Moana Blvd",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "96813",
"country_code": "US",
"telephone_number": "808-427-6522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDING",
"first_name": "TAMISHA",
"middle_name": "WILLIAMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2022-07-01",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMISHA",
"last_name": "WILLIAMS",
"middle_name": "TINIQUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.