Active NPI
Adrianna Williams
- Behavior Technician
- Deerfield Beach, FL
National Provider Identifier
1750828463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- W452013829480
- Practice address
- 500 Fairway Dr
Suite 102
Deerfield Beach, FL 33441-1814 - Phone
- (954) 603-7885
- NPI assigned
- Jan 20, 2017
- 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 | W452013829480 | FL | Primary |
Addresses
Primary practice location
500 Fairway Dr
Suite 102
Deerfield Beach, FL 33441-1814
Mailing address
11443 NW 43Rd St
Coral Springs, FL 33065-7179
Phone (412) 377-8142
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W452013829480 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1750828463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11443 NW 43RD ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330657179",
"telephone_number": "412-377-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR",
"address_2": "SUITE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411814",
"telephone_number": "954-603-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ADRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "W452013829480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.