Nicole Williams, M.S., BCBA

Individual provider Active NPI Behavior Analyst · Providence Village, TX

NPI 1275000960 · NPPES record last updated Jan 31, 2024

Key facts

NPI
1275000960
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-18-31850 (CO)
Practice address
2024 Bridgeport Dr
Providence Village, TX 76227-8533
Phone
(860) 913-3804
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Study Notes ABA Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-31850 CO Yes

Addresses

Primary practice location

2024 Bridgeport Dr
Providence Village, TX 76227-8533

Mailing address

2024 Bridgeport Dr
Providence Village, TX 76227-8533
Phone (860) 913-3804

Other names

  • Nicole Berger Former name

Other providers in Providence Village, TX

All providers in Providence Village, TX · Behavior Analyst in Texas

Sources for this page

Verify at the official NPI Registry.