Active NPI
Latasha C Williams
- Behavior Technician
- Lithonia, GA
National Provider Identifier
1548713068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1946 Big Branch CT
Lithonia, GA 30058-8951 - Phone
- (678) 907-2755
- NPI assigned
- Aug 2, 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 Technician | 106S00000X | GA | Primary |
Addresses
Primary practice location
1946 Big Branch CT
Lithonia, GA 30058-8951
Mailing address
505 Rockmont Cir SW # 39
Conyers, GA 30094-5856
Phone (678) 907-2755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548713068 | Medicaid | GA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1548713068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ROCKMONT CIR SW # 39",
"city": "CONYERS",
"state": "GA",
"postal_code": "300945856",
"telephone_number": "678-907-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1946 BIG BRANCH CT",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300588951",
"telephone_number": "678-907-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LATASHA",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548713068",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.