Juanita L Williams, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3279

Practice address

1211 National Ave
New Bern, NC 28560-3239

Phone

(951) 662-1118

NPI assigned

Apr 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1487910493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 S GLENBURNIE RD STE 6",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625221",
            "telephone_number": "951-662-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 NATIONAL AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603239",
            "telephone_number": "951-662-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUANITA",
        "middle_name": "L",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-07-3279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300026806",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Evan Williams, DMD
• Deatrice Williams, LCAS-A
• Jasmine Williams
• John Anthony Williams III, MD
• John Michael Williams, DDS, MS
• Shanavia Williams
• Sharon Williams
• Sonya Burke Williams, RN, MSN, FNP-C
• Deanna Jo Williamson
• Audriana K. Willis, PA-C

• Behavior Analyst in New Bern, NC
• Providers in New Bern, NC by specialty
• Behavior Analyst in North Carolina

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