BRIDGETT WILLIAMS (NPI# 1104395896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104395896 |
| Entity Type | Individual |
| Full Name | BRIDGETT WILLIAMS |
| Practice Address |
7806 Andover Woods Drive Charlotte NC 28210 |
| Mailing Address |
7806 Andover Woods Dr Apt 303 Charlotte NC 28210-6641 |
| Practice Telephone | 7043431282 |
| Mailing Telephone | 7043431282 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
7806 ANDOVER WOODS DRIVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| 1447634522 | Carolinas Physicians Network Inc | Pediatrics | 10625 Park Rd, Ste 300, Charlotte, NC 28210 | 2015-07-17 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577244 | Jennifer Brickman | Behavior Technician | 905 Kenilworth Ave Apt 226, Charlotte, NC 28204-2947 | 2020-11-01 |
| 1578162475 | Jaquetta Mcpherson | Behavior Technician | 650 E Stonewall St Apt 435, Charlotte, NC 28202-3416 | 2020-10-21 |
| 1922614270 | Kalessa Grigsby | Behavior Technician | 3510 Frew Rd Apt H, Charlotte, NC 28206-4990 | 2020-09-22 |
| 1851907125 | Kayla Tyson-cardona | Behavior Technician | 13420 Cedar Farm Rd Apt 302, Charlotte, NC 28278-7543 | 2020-09-21 |
| 1558971333 | Danielle C Tain | Behavior Technician | 3443 Twelve Oaks Pl, Charlotte, NC 28270-4432 | 2020-08-05 |
| 1558971465 | Leah Danielle Dunn | Behavior Technician | 8307 University Exec Park Dr Ste 231, Charlotte, NC 28262-1381 | 2020-08-05 |
| 1255959854 | Catherine Danielle Rivers | Behavior Technician | 6647 Kemp St, Charlotte, NC 28213-5629 | 2020-07-09 |
| 1215552237 | Evelyn A Bailey | Behavior Technician | 2301 Lawry Run Dr Apt 402, Charlotte, NC 28273-3495 | 2020-06-15 |
| 1770107971 | Robert L Mckinstry | Behavior Technician | 7046 Markway Dr, Charlotte, NC 28215-3577 | 2020-06-03 |
| 1982238655 | Aleta Fraser | Behavior Technician | 10931 Pimlico Dr, Charlotte, NC 28273-7712 | 2020-03-02 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.