Individual provider Active NPI

Rebekah Grace Williamson, BCBA

  • Behavior Analyst
  • Memphis, TN
National Provider Identifier
1659988582
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44685 Issued in TN
Practice address
4055 N Park Loop # 1036
Memphis, TN 38152-8037
Phone
(901) 827-1114
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-44685 TN Primary

Addresses

Primary practice location

4055 N Park Loop # 1036
Memphis, TN 38152-8037

Mailing address

4055 N Park Loop # 1036
Memphis, TN 38152-8037
Phone (901) 827-1114

Other practice location 1

4988 Fairfield Cir S
Memphis, TN 38117-4210
Phone (901) 827-1114

Other names 1

  • Rebekah Grace White Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Pediatrics, PLLC Behavior Analyst CurrentSince Oct 8, 2023 Accepting new patients
Autism Centers of Tennessee Behavior Analyst PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1659988582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 N PARK LOOP # 1036",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381528037",
            "telephone_number": "901-827-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 N PARK LOOP # 1036",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381528037",
            "telephone_number": "901-827-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4988 Fairfield Cir S",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381174210",
            "country_code": "US",
            "telephone_number": "901-827-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "REBEKAH",
        "middle_name": "GRACE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-20-44685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "WHITE",
            "middle_name": "GRACE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.