Active NPI
Jennifer Williams, BSL
- Behavior Analyst
- Harrisburg, PA
National Provider Identifier
1811700883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 340470
- Practice address
- 750 S 29TH St
Harrisburg, PA 17111-1606 - Phone
- (717) 940-7941
- NPI assigned
- Jan 31, 2025
- 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 Analyst | 103K00000X | 340470 | PA | Primary |
Addresses
Primary practice location
750 S 29TH St
Harrisburg, PA 17111-1606
Mailing address
707 S 27TH St
Harrisburg, PA 17111-1116
Phone (717) 940-7941
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
- Credentials
- Bachelor of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340470 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Behavioral Health | Current | Accepting new patients |
Locations
750 S 29th St
Harrisburg, PA 17111
Phone (717) 940-7941
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.
-
- Community/Behavioral Health Agency
- Harrisburg, PA
- NPI 1437951936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1811700883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S 27TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171111116",
"telephone_number": "717-940-7941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 S 29TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171111606",
"telephone_number": "717-940-7941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"credential": "BSL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-31",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "340470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.