Provider Demographics
NPI:1265294862
Name:WILLIAMS, SCHNAIDER KAY KAY (RBT)
Entity type:Individual
Prefix:
First Name:SCHNAIDER
Middle Name:KAY KAY
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2171 SE HOLLAND ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-4827
Mailing Address - Country:US
Mailing Address - Phone:772-203-5753
Mailing Address - Fax:
Practice Address - Street 1:2171 SE HOLLAND ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-4827
Practice Address - Country:US
Practice Address - Phone:772-203-5753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician