Individual provider Active NPI

Tyeasha Williams, M. ED., BCBA

  • Behavior Analyst
  • Plymouth, MI
National Provider Identifier
1508304445
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
229 N Sheldon Rd
Plymouth, MI 48170
Phone
(313) 278-4601
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X W452809488901 MI
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

229 N Sheldon Rd
Plymouth, MI 48170

Mailing address

229 N Sheldon Rd
Plymouth, MI 48170-1524
Phone (313) 278-4601

Other practice location 1

33464 Schoenherr Rd Ste 180
Sterling Heights, MI 48312-6392
Phone (586) 999-5971

Other practice location 2

18635 Bowie St
Southgate, MI 48195-2805
Phone (734) 785-7705

Other practice location 3

33464 Schoenherr Rd Ste 180
Sterling Heights, MI 48312-6392
Phone (586) 999-5971

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
W452809488901MIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamworks Behavioral Health Services LLC Behavior Analyst Current Accepting new patients
Dreamworks Behavioral Health Services LLC Current Accepting new patients
The Guidance Center PastSince Jun 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1508304445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701524",
            "telephone_number": "313-278-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "313-278-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33464 Schoenherr Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483126392",
            "country_code": "US",
            "telephone_number": "586-999-5971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18635 Bowie St",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952805",
            "country_code": "US",
            "telephone_number": "734-785-7705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33464 Schoenherr Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483126392",
            "country_code": "US",
            "telephone_number": "586-999-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TYEASHA",
        "credential": "M. ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "W452809488901",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.