Provider Demographics
NPI:1548579782
Name:WILLIAMS, JAMES E JR
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34809
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89533-4809
Mailing Address - Country:US
Mailing Address - Phone:775-384-3587
Mailing Address - Fax:
Practice Address - Street 1:2370 RIDGE FIELD TRL
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-6803
Practice Address - Country:US
Practice Address - Phone:775-384-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst