Individual provider Active NPI

Tyne Alucia Williams, BCABA

  • Assistant Behavior Analyst
  • Goodyear, AZ
National Provider Identifier
1992211379
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
02515825 Issued in AZ
Practice address
700 N Estrella Pkwy Ste 215&230
Goodyear, AZ 85338-9271
Phone
(628) 833-8424
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-38132 CA
Assistant Behavior Analyst 106E00000X 02515825 AZ Primary

Addresses

Primary practice location

700 N Estrella Pkwy Ste 215&230
Goodyear, AZ 85338-9271

Mailing address

3030 Calle Frontera
San Clemente, CA 92673-3009
Phone (949) 272-6146

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

LicenseStateTypeSpecialty
02515825AZMDAssistant Behavior Analyst
RBT-17-38132CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Adrienne M. Silva 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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1992211379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CALLE FRONTERA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733009",
            "telephone_number": "949-272-6146",
            "fax_number": "888-847-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N ESTRELLA PKWY STE 215&230",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389271",
            "telephone_number": "628-833-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TYNE",
        "middle_name": "ALUCIA",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-38132",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "AZ",
            "license": "02515825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.