Matilyn Brook Williams

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1720 Issued in TN

Practice address

1521 Lake Crest Cir
Cookeville, TN 38506-5943

Phone

(931) 704-6952

NPI assigned

Mar 14, 2023

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

State licenses

Practice roles

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.

• Thrive ABA and Feeding Solutions

  • Behavior Analyst
  • Cookeville, TN
  • NPI 1194519058
  NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1619678935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 LAKE CREST CIR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065943",
            "telephone_number": "931-704-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 LAKE CREST CIR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065943",
            "telephone_number": "931-704-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MATILYN",
        "middle_name": "BROOK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Casal Wilkinson, PA-C
• Alice Janielle Willhite
• William T. Shipley, D.D.S., M.S.D.
• Williams Foot Center, PLLC
• Christina A Williams, LMFTA
• Richard Irwin Williams, M.D.
• Kayce Elizabeth Williamson, OTR/L
• Robyn Lynn Willis, L.P.C.
• Elizabeth Kay Elsea Wilmore, PA-C
• Kasandra Kay Wilmore, CCRN

• Behavior Analyst in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.