Provider Demographics
NPI:1285187880
Name:RIDDLE WILLIAMSON, AMANDA CLAIRE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:CLAIRE
Last Name:RIDDLE WILLIAMSON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5465 ABLE CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3100
Mailing Address - Country:US
Mailing Address - Phone:251-644-5938
Mailing Address - Fax:251-410-0106
Practice Address - Street 1:5465 ABLE CT
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3100
Practice Address - Country:US
Practice Address - Phone:251-937-8359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-31
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst