Kelly Erin Williams

Individual provider Active NPI Behavior Technician · Freeport, FL

NPI 1649133992 · NPPES record last updated Dec 4, 2025

Key facts

NPI
1649133992
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-474276 (FL)
Practice address
75 Bay Grove Blvd
Freeport, FL 32439-1725
Phone
(954) 632-2835
NPI assigned
Dec 4, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-25-474276FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Prevail Behavioral Health Current
since Dec 7, 2025
Accepting new patients

Locations

75 Bay Grove Blvd
Freeport, FL 32439
Phone (850) 374-2311

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-474276 FL Yes

Addresses

Primary practice location

75 Bay Grove Blvd
Freeport, FL 32439-1725

Mailing address

75 Bay Grove Blvd
Freeport, FL 32439-1725
Phone (954) 632-2835

Other providers in Freeport, FL

All providers in Freeport, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.