Provider Demographics
NPI:1780402453
Name:WILLIAMS, KAMARIA ANAKILAH (RBT)
Entity type:Individual
Prefix:
First Name:KAMARIA
Middle Name:ANAKILAH
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 1:4300 WESTBROOK RD STE E
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4987
Mailing Address - Country:US
Mailing Address - Phone:770-790-7431
Mailing Address - Fax:
Practice Address - Street 1:4300 WESTBROOK RD STE E
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4987
Practice Address - Country:US
Practice Address - Phone:770-790-7412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician