Individual provider Active NPI

Gwenique Williams

  • Behavior Technician
  • Yucaipa, CA
National Provider Identifier
1447778469
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13768 Meadow View LN
Yucaipa, CA 92399-7006
Phone
(323) 475-7407
Fax
(323) 475-7407
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

13768 Meadow View LN
Yucaipa, CA 92399-7006

Mailing address

325 N Maple Dr Unit 2076
Beverly Hills, CA 90213-4769
Phone (323) 475-7407

Other practice location 1

8300 Utica Ave Ste 259
Rancho Cucamonga, CA 91730-3852
Phone (909) 906-1505

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ms. G & Associates Behavior Technician Current Accepting new patients

Locations

325 N Maple Dr
Unit 2076
Beverly Hills, CA 90213

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447778469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MAPLE DR UNIT 2076",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902134769",
            "telephone_number": "323-475-7407",
            "fax_number": "323-475-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 MEADOW VIEW LN",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923997006",
            "telephone_number": "323-475-7407",
            "fax_number": "323-475-7407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Utica Ave Ste 259",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303852",
            "country_code": "US",
            "telephone_number": "909-906-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GWENIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.