Provider Demographics
NPI:1245680180
Name:APPLETON, WILIAM
Entity type:Individual
Prefix:
First Name:WILIAM
Middle Name:
Last Name:APPLETON
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 1:29470 SW 193RD AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-2221
Mailing Address - Country:US
Mailing Address - Phone:305-546-7951
Mailing Address - Fax:786-377-3549
Practice Address - Street 1:29470 SW 193RD AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-2221
Practice Address - Country:US
Practice Address - Phone:305-546-7951
Practice Address - Fax:786-377-3549
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-21
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst