Active NPI
Antonette Williams, B.A. SOCIAL SCIENCE
- Behavior Technician
- Rancho Cucamonga, CA
National Provider Identifier
1851883185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8350 Archibald Ave Ste 110
Rancho Cucamonga, CA 91730-3670 - Phone
- (800) 434-8923
- NPI assigned
- Jun 1, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary | |
| Counselor | 101Y00000X | CA |
Addresses
Primary practice location
8350 Archibald Ave Ste 110
Rancho Cucamonga, CA 91730-3670
Mailing address
1229 Piute St
Barstow, CA 92311-5455
Phone (760) 447-5654
Other practice location 1
1229 Piute St
Barstow, CA 92311-5455
Phone (760) 447-5654
Other practice location 2
309 E Mountain View St Ste 100
Barstow, CA 92311
Phone (760) 256-7279
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSS Community Care Center | Past | Accepting new patients |
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
- Barstow, CA
- NPI 1265838023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1851883185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 PIUTE ST",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923115455",
"telephone_number": "760-447-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 ARCHIBALD AVE STE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303670",
"telephone_number": "800-434-8923"
}
],
"practiceLocations": [
{
"address_1": "1229 Piute St",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "923115455",
"country_code": "US",
"telephone_number": "760-447-5654",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 E Mountain View St Ste 100",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "92311",
"country_code": "US",
"telephone_number": "760-256-7279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANTONETTE",
"credential": "B.A. SOCIAL SCIENCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.