Tajia Federick-Williams

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9539 S Utica Ave
Evergreen Park, IL 60805-2639

Phone

(319) 361-6573

NPI assigned

Sep 22, 2023

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1518746130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9539 S UTICA AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9539 S UTICA AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052639",
            "telephone_number": "319-361-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICK-WILLIAMS",
        "first_name": "TAJIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Anthony Fabiszak, RPH
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• Paula M Farina, PHARMD
• Christian Ashley Fears, LCPC
• Fidelity Health Care Inc
• Angelika Fiedorowicz, APRN
• Michael R Fiorucci, MD
• Rowena Adriano Flavier, PT
• Regina M Folliard I, OTR/L

• Behavior Technician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.