Wilfred Larry Williams

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0085 Issued in NV

Practice address

1272 Blue Lakes Rd
Reno, NV 89523-1764

Phone

(775) 772-2444

NPI assigned

Apr 17, 2017

Last updated

Apr 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1457885485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 BLUE LAKES RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231764",
            "telephone_number": "775-772-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 BLUE LAKES RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231764",
            "telephone_number": "775-772-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WILFRED",
        "middle_name": "LARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0085",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-04-1654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted D Williams, PHARMD
• Terry Williams
• Theresa E Williams, LCSW
• Thornton Gavin Williams, M.D., PH.D.
• Valerie L Williams, PHD
• John S. Williamson, M.D.
• Peggy Ann Williamson, APN, CNM
• Shane Williamson, M.D.
• Thao Willick
• Sarah Willis

• Behavior Analyst in Reno, NV
• Providers in Reno, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.