Provider Demographics
NPI:1396048971
Name:WILLIAMS, AARON H (MS, BCBA)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:H
Last Name:WILLIAMS
Suffix:
Gender:M
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 1:160 E LAKE BRANTLEY DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4807
Mailing Address - Country:US
Mailing Address - Phone:321-972-6720
Mailing Address - Fax:407-218-4303
Practice Address - Street 1:160 E LAKE BRANTLEY DR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4807
Practice Address - Country:US
Practice Address - Phone:321-972-6720
Practice Address - Fax:321-295-7027
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-10-7371103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018889900Medicaid