Corey Williams, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15424 Issued in MA

Practice address

324 Grove St
Worcester, MA 01605-3936

Phone

(818) 241-6780

Fax

(818) 241-6853

NPI assigned

Apr 8, 2014

Last updated

Apr 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1770902629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N BRAND BLVD",
            "address_2": "#1000",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031906",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053936",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "COREY",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-14-15424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-14-15424",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathryn Williams, PSY.D
• Chad Williams
• Chloe H. Williams, M.D.
• Christian Elizabeth Williams, LMHC
• Claudette M Williams, LICSW
• Daphnie Williams, CLINICIAN
• Elyssa Williams, MSN, RN, FNP
• Famata Hope Williams, RN
• Faren H Williams, M.D.
• Gina M Williams

• Behavior Analyst in Worcester, MA
• Providers in Worcester, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.