Provider Demographics
NPI:1801469408
Name:YORK, WILLIAM (BCBA)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:YORK
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3601 W BETHEL AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5408
Mailing Address - Country:US
Mailing Address - Phone:765-282-8222
Mailing Address - Fax:765-282-2820
Practice Address - Street 1:2342 S COPPERSTONE DR
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163-8036
Practice Address - Country:US
Practice Address - Phone:888-177-7024
Practice Address - Fax:317-978-3478
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT-17-40700106S00000X
IN1-23-69232103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician