Active NPI
Daryl Dejuan Williams Jr.
- Behavior Technician
- Flint, MI
National Provider Identifier
1407791809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1402 S Saginaw St
Flint, MI 48503-3705 - Phone
- (810) 257-3705
- NPI assigned
- Apr 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1402 S Saginaw St
Flint, MI 48503-3705
Mailing address
G3169 Beecher Rd
Flint, MI 48532-3611
Phone (810) 213-1803
Other practice location 1
G3169 Beecher Rd
Flint, MI 48532-3611
Phone (810) 213-1803
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1407791809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G3169 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323611",
"telephone_number": "810-213-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S SAGINAW ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485033705",
"telephone_number": "810-257-3705"
}
],
"practiceLocations": [
{
"address_1": "G3169 Beecher Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485323611",
"country_code": "US",
"telephone_number": "810-213-1803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DARYL",
"middle_name": "DEJUAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-21",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.