Provider Demographics
NPI:1225384175
Name:WILLIAMS, KASHUNDA LYNN (LP, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:KASHUNDA
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LP, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18145 RIVER BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3476
Mailing Address - Country:US
Mailing Address - Phone:469-766-3001
Mailing Address - Fax:225-363-6414
Practice Address - Street 1:18145 RIVER BIRCH DR
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3476
Practice Address - Country:US
Practice Address - Phone:469-766-3001
Practice Address - Fax:225-363-6414
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
LA1245103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst