Provider Demographics
NPI:1336746031
Name:WILLIAMS, AUBRIANA A
Entity Type:Individual
Prefix:
First Name:AUBRIANA
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 SKYLARK DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2380
Mailing Address - Country:US
Mailing Address - Phone:757-655-7274
Mailing Address - Fax:775-392-1245
Practice Address - Street 1:4652 HAYGOOD RD STE C
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5447
Practice Address - Country:US
Practice Address - Phone:757-655-7274
Practice Address - Fax:775-392-1245
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician