Provider Demographics
NPI:1942642921
Name:WILLIAMS, AVEEON NOEL
Entity Type:Individual
Prefix:MR
First Name:AVEEON
Middle Name:NOEL
Last Name:WILLIAMS
Suffix:
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 1:3985 E CHEYENNE AVE
Mailing Address - Street 2:APT.144
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-3212
Mailing Address - Country:US
Mailing Address - Phone:702-625-0567
Mailing Address - Fax:
Practice Address - Street 1:3985 E CHEYENNE AVE
Practice Address - Street 2:APT.144
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-3212
Practice Address - Country:US
Practice Address - Phone:702-625-0567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst