Terrence Williams, HIGH SCHOOL DIPLOMA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

13768 Meadow View Lane
Yucaipa, CA 92399

Phone

(909) 641-2194

Fax

(323) 475-7407

NPI assigned

Oct 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ms. G & Associates

  • Behavior Technician
  • Riverside, CA
  • NPI 1407343122
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1952943524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MAPLE DR UNIT 2076",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902134769",
            "telephone_number": "909-641-2194",
            "fax_number": "323-475-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 MEADOW VIEW LANE",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-641-2194",
            "fax_number": "323-475-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERRENCE",
        "credential": "HIGH SCHOOL DIPLOMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Willemse, NP-C
• Gwenique Williams
• Mattison Williams, HIGH SCHOOL DIPLOMA
• Monica Williams
• Tamarind Williams, HIGH SCHOOL DIPLOMA
• Carly Wilson, MS, PPS
• Jeremy Michael Wilson
• Lukas Maxwell Wilson
• Penchitt Winkelman, FNP
• Karen Winston, M.D.

• Behavior Analyst in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.