Provider Demographics
NPI:1437400694
Name:WILLIAMS, JENNIFER ARNOLD (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ARNOLD
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-2447
Mailing Address - Country:US
Mailing Address - Phone:251-331-2512
Mailing Address - Fax:
Practice Address - Street 1:26 SHERWOOD DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-2447
Practice Address - Country:US
Practice Address - Phone:251-331-2512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-05-2567103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst