Active NPI
Kenia Williams, MSED ABA
- Behavior Analyst
- Bronx, NY
National Provider Identifier
1518319359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 414215834
- Practice address
- 329 E 149TH St FL 4
Bronx, NY 10451-5601 - Phone
- (718) 769-2698
- Fax
- (718) 401-0108
- NPI assigned
- Jul 5, 2016
- 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 Analyst | 103K00000X | 414215834 | NY | Primary |
Addresses
Primary practice location
329 E 149TH St FL 4
Bronx, NY 10451-5601
Mailing address
368 W 118TH St Apt 7
New York, NY 10026-1055
Phone (347) 410-4859
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
- Associate of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 414215834 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Pro Group Inc | Past | Accepting new patients |
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.
-
- Case Manager/Care Coordinator
- Bronx, NY
- NPI 1215331210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1518319359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 W 118TH ST APT 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261055",
"telephone_number": "347-410-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 E 149TH ST FL 4",
"city": "BRONX",
"state": "NY",
"postal_code": "104515601",
"telephone_number": "718-769-2698",
"fax_number": "718-401-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KENIA",
"credential": "MSED ABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "414215834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.