Tara C. Williams, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2011024629 Issued in MO

Practice address

929 SW Loula Dr
Lees Summit, MO 64081-2451

Phone

(816) 729-4892

NPI assigned

Sep 7, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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.

• Triumph Behavioral Consulting

  • Behavior Analyst
  • Lees Summit, MO
  • NPI 1659024669
  NPD Authorized official

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1376824110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SW LOULA DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812451",
            "telephone_number": "816-729-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW LOULA DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812451",
            "telephone_number": "816-729-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TARA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2021-12-31",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2011024629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Williams, DDS
• Jasmine Williams
• Leslie K Williams, FNP
• Michael E Williams, M.D.
• Sharon L Williams
• Zachary Thomas Williams, D.D.S., M.C.L.D.
• Emily Ann Williamson, LMSW
• Katie Willis, LCSW
• Marnice J Willis, LCSW
• Wilshire Operator LLC

• Behavior Analyst in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.