William Daniel Connell III

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10 Dorrance Street
Ste 700
Providence, RI 02903

Phone

(877) 418-2978

Fax

(866) 500-2186

NPI assigned

Feb 18, 2025

Sex

Male

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

• Liam Daniel Connell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1437954872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FAIRWAY DRIVE",
            "address_2": "SUITE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE STREET",
            "address_2": "STE 700",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIAM",
            "last_name": "CONNELL",
            "middle_name": "DANIEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anastasia Marie Sophia Congdon, DA, LAC
• Kimberly Conklin
• Steve Conlan, LCSW
• Madison Conley, MHCA
• Lauren Caroline Connell
• Stacey Gordon Connelly, OTRL CHT
• Timothy Gerard Connelly, D.O.
• Amanda Connerton, PSYD
• Gina M Connerton, MLP-NP
• Julie Connolly, LCSW

• Behavior Technician in Providence, RI
• Providers in Providence, RI by specialty
• Behavior Technician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.