Provider Demographics
NPI:1255848875
Name:WILLIAMS, TAYLOR R (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6892 S YOSEMITE CT STE 1-105
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1481
Mailing Address - Country:US
Mailing Address - Phone:323-683-4661
Mailing Address - Fax:
Practice Address - Street 1:6892 S YOSEMITE CT STE 1-105
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1481
Practice Address - Country:US
Practice Address - Phone:720-746-9254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-17-28069103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst