Provider Demographics
NPI:1174499396
Name:WILLIAMSON, JOSHUA COLE
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:COLE
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 LOCUST PL NE APT 2017
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1669
Mailing Address - Country:US
Mailing Address - Phone:505-301-0785
Mailing Address - Fax:
Practice Address - Street 1:801 LOCUST PL NE APT 2017
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1669
Practice Address - Country:US
Practice Address - Phone:505-301-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician