Active NPI
Dominique Diamond-Rae Williams
- Behavior Technician
- Citrus Heights, CA
National Provider Identifier
1861075319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24395467
- Practice address
- 6400 Tupelo Dr
Citrus Heights, CA 95621-1741 - Phone
- (916) 729-3098
- NPI assigned
- May 3, 2021
- 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 Technician | 106S00000X | 24395467 | VA | Primary |
Addresses
Primary practice location
6400 Tupelo Dr
Citrus Heights, CA 95621-1741
Mailing address
7512 Wachtel Way
Orangevale, CA 95662-2169
Phone (916) 751-9670
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1861075319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 WACHTEL WAY",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956622169",
"telephone_number": "916-751-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 TUPELO DR",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956211741",
"telephone_number": "916-729-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DOMINIQUE",
"middle_name": "DIAMOND-RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "24395467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.