Lorissa Yvonne Williams, CBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CB61440080 Issued in WA

Practice address

310 N Meridian Ste 209
Puyallup, WA 98371-8644

Phone

(253) 339-6094

NPI assigned

May 31, 2023

Last updated

May 31, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Behavioral Solutions, LLC

  • Community/Behavioral Health Agency
  • Puyallup, WA
  • NPI 1487114385
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1407549942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N MERIDIAN STE 209",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983718644",
            "telephone_number": "253-339-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N MERIDIAN STE 209",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983718644",
            "telephone_number": "253-339-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LORISSA",
        "middle_name": "YVONNE",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CB61440080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Robert Williams, R.PH.
• Kalle Stanly Williams, COTA/L
• Karin Jeona Williams, ARNP
• Kasey Williams
• Kristin Williams, ARNP
• Nathan Alexander Williams
• Nicole Christine Williams, PTA
• Porcha Latrease Williams
• Robert Rex Williams, PA-C
• Selina Schell Williams, ARNP

• Behavior Analyst in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Behavior Analyst in Washington

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

Verify at the official NPI Registry.