Provider Demographics
NPI:1235567140
Name:WILLIAMS, MICHAEL ANTHONY II (MS, BCBA)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:MS, BCBA
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Mailing Address - Street 1:14001 FLOYD ST. #3308
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-4219
Mailing Address - Country:US
Mailing Address - Phone:916-390-8884
Mailing Address - Fax:913-730-8375
Practice Address - Street 1:14001 FLOYD ST. #3308
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-4219
Practice Address - Country:US
Practice Address - Phone:916-390-8884
Practice Address - Fax:913-730-8375
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-31
Last Update Date:2016-10-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst