Active NPI
Tyeasha Williams, M. ED., BCBA
- Behavior Analyst
- Plymouth, MI
National Provider Identifier
1508304445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| W452809488901 | MI | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreamworks Behavioral Health Services LLC | Behavior Analyst | Current | Accepting new patients |
| Dreamworks Behavioral Health Services LLC | Current | Accepting new patients | |
| The Guidance Center | Past | 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.
-
- Behavior Analyst
- Detroit, MI
- NPI 1205459385
-
- Group Psychotherapy Psychologist
- Detroit, MI
- NPI 1912596958
-
- Community/Behavioral Health Agency
- Southgate, MI
- NPI 1609947027
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.