Provider Demographics
NPI:1013371376
Name:WILLIAMS, HEATHER H (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:H
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 1:3296 CAHABA HEIGHTS RD
Mailing Address - Street 2:#200
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-1653
Mailing Address - Country:US
Mailing Address - Phone:205-253-6903
Mailing Address - Fax:205-278-5869
Practice Address - Street 1:3296 CAHABA HEIGHTS RD
Practice Address - Street 2:#200
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-1653
Practice Address - Country:US
Practice Address - Phone:205-253-6903
Practice Address - Fax:205-278-5869
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-08-4576103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL178460Medicaid