Active NPI
Gwenique Williams
- Behavior Technician
- Yucaipa, CA
National Provider Identifier
1447778469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Behavior Technician
- Riverside, CA
- NPI 1407343122
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.