Taylor Breanna Williams, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-20-10989 Issued in SC

Practice address

511 W Butler Rd
Greenville, SC 29607-4890

Phone

(864) 757-9918

NPI assigned

Mar 18, 2020

Last updated

Mar 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1942836317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GERALD DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814111",
            "telephone_number": "864-757-9918",
            "fax_number": "864-757-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074890",
            "telephone_number": "864-757-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAYLOR",
        "middle_name": "BREANNA",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "SC",
            "license": "0-20-10989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB- BEHAVIOR ANALYST CERIFICATION BOARD",
            "identifier": "0-20-10989",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra R Williams, NP
• Susan L. Williams, SLP
• Tamara Victoria Williams, APRN
• Tamille Williams
• Tasha Williams
• Teresa Annette Williams, M.D.
• Timothy H Williams, M.D.
• Tounga Williams
• Trvera L. Williams, MSPT
• Whitley Williams, MS, ATC

• Assistant Behavior Analyst in Greenville, SC
• Providers in Greenville, SC by specialty
• Assistant Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.