Active NPI
Olivia Kate Williams
- Behavior Technician
- Kennesaw, GA
National Provider Identifier
1245019140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-258446
- Practice address
- 3330 Chastain Meadows Pkwy NW Ste 200
Kennesaw, GA 30144-5881 - Phone
- (678) 648-7644
- NPI assigned
- Sep 28, 2023
- 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 Technician | 106S00000X | RBT-23-258446 | GA | Primary |
Addresses
Primary practice location
3330 Chastain Meadows Pkwy NW Ste 200
Kennesaw, GA 30144-5881
Mailing address
6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Phone (678) 648-7644
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-258446 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1245019140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 SHILOH RD STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051645",
"telephone_number": "678-648-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 CHASTAIN MEADOWS PKWY NW STE 200",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445881",
"telephone_number": "678-648-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "OLIVIA",
"middle_name": "KATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-28",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-23-258446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.