Angel Lynn Williams, B-CAT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

0017350 Issued in VA

Practice address

6325 N Center Dr Ste 121
Norfolk, VA 23502-0012

Phone

(757) 901-0646

Fax

(877) 734-1914

NPI assigned

Mar 20, 2022

Reactivated

Sep 30, 2022

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

Other names 1

• Mrs. Angel Lynn McCall Former name

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.

• Your Life ABA VA, LLC

  • Behavior Analyst
  • New York, NY
  • NPI 1023772001
  NPD (past)

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1356090179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE SQ STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101624",
            "telephone_number": "866-565-7222",
            "fax_number": "877-734-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 N CENTER DR STE 121",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020012",
            "telephone_number": "757-901-0646",
            "fax_number": "877-734-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGEL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "B-CAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "deactivation_date": "2022-03-29",
        "reactivation_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "0017350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "MCCALL",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tendai Williams Gentle, MBBS
• Alex Olabode Williams, M.D.
• Alexis Paige Williams, CPNP
• Altimar Taimak Williams I
• Amanda Rae Williams, RN
• Annie Louise Williams, M.D.
• Armistead D. Williams, M.D.
• Barbara L Williams, FNP
• Brandon Williams
• Brentney Lason Williams

• Behavior Technician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.