Active NPI
Mikayla Williamson
- Behavior Analyst
- Billings, MT
National Provider Identifier
1861090672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- PSY-BA-LIC-4584
- Practice address
- 1050 S 25TH St W Ste 2
Billings, MT 59102-7417 - Phone
- (406) 656-0928
- NPI assigned
- Oct 14, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | RBT-20-136951 | TX | |
| Behavior Analyst | 103K00000X | PSY-BA-LIC-4584 | MT | Primary |
Addresses
Primary practice location
1050 S 25TH St W Ste 2
Billings, MT 59102-7417
Mailing address
1533 Austin Hwy
San Antonio, TX 78218-1730
Phone (210) 748-3690
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 |
|---|---|---|---|
| PSY-BA-LIC-4584 | MT | MD | Behavioral Analyst |
| RBT-20-136951 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aware Inc | Behavior Analyst | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1861090672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 AUSTIN HWY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782181730",
"telephone_number": "210-748-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 S 25TH ST W STE 2",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591027417",
"telephone_number": "406-656-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "MIKAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-20-136951",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MT",
"license": "PSY-BA-LIC-4584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.