Provider Demographics
NPI:1447556444
Name:WILLIAMSON, VERONIKA (BCABA)
Entity Type:Individual
Prefix:MRS
First Name:VERONIKA
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:MISS
Other - First Name:VERONIKA
Other - Middle Name:
Other - Last Name:DVORAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA
Mailing Address - Street 1:2809 E 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-5103
Mailing Address - Country:US
Mailing Address - Phone:714-604-8523
Mailing Address - Fax:
Practice Address - Street 1:4301 S PINE ST STE 505
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7208
Practice Address - Country:US
Practice Address - Phone:714-604-8523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst