Provider Demographics
NPI:1245978584
Name:WILLIAMS, ALIYANNA (RBT)
Entity type:Individual
Prefix:
First Name:ALIYANNA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 W TOWN CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3734
Mailing Address - Country:US
Mailing Address - Phone:281-570-2420
Mailing Address - Fax:
Practice Address - Street 1:4422 E STATE BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-6917
Practice Address - Country:US
Practice Address - Phone:260-471-9263
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT-24-375645106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician