Kierstin Williams, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-184222 Issued in NC

Practice address

351 Wagoner Dr Ste 325
Fayetteville, NC 28303-4674

Phone

(910) 491-0061

NPI assigned

Sep 13, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1598434532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 325",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034674",
            "telephone_number": "910-491-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 325",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034674",
            "telephone_number": "910-491-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIERSTIN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-21-184222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@chbsllc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "351 Wagoner Dr Ste 325",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283034674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Williams
• Joshua Williams
• Kattrice Williams
• Kayla Williams
• Kaylee Williams, OTR
• Kimberly Deniece Williams, LPC
• Kirsten Brooke Williams, M.S.
• Kishia Williams, LCSWA,LCASA
• Kristopher Williams, P.T., D.P.T
• Lakiesha Williams

• Behavior Technician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.