Active NPI
Shaneka Williams-Waddell, RBT
- Behavior Analyst
- Columbia, MD
National Provider Identifier
1851132377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-22-244428
- Practice address
- 8875 Centre Park Dr Ste G
Columbia, MD 21045-2382 - Phone
- (877) 776-8502
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 | RBT-22-244428 | MD | Primary |
Addresses
Primary practice location
8875 Centre Park Dr Ste G
Columbia, MD 21045-2382
Mailing address
8662 Cobblefield Dr Apt 2D
Columbia, MD 21045-5818
Phone (980) 255-9059
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 |
|---|---|---|---|
| RBT-22-244428 | MD | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1851132377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8662 COBBLEFIELD DR APT 2D",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455818",
"telephone_number": "980-255-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8875 CENTRE PARK DR STE G",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452382",
"telephone_number": "877-776-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-WADDELL",
"first_name": "SHANEKA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "RBT-22-244428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.