CAMILLE BROOKE WILLIAMS (NPI# 1417597782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417597782 |
Entity Type | Individual |
Full Name | CAMILLE BROOKE WILLIAMS |
Practice Address |
7607 Fern Avw 403 Shreveport LA 71105-5699 |
Mailing Address |
448 Unadilla St Shreveport LA 71106-1238 |
Practice Telephone | 3182848481 |
Mailing Telephone | 3182108051 |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-01-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
21600 Oxnard St Ste 1800, Woodland Hills, CA 913677807 | 8183452345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275907537 | Camille Vergina Williams I | Nursing Care | 167 Sterling St, Brooklyn, NY 11225-3416 | 2015-11-23 |
1649436510 | Camille Williams | Radiology | 6137 Lincolnia Rd, Unit 11182, Alexandria, VA 22312-8000 | 2008-07-31 |
1639776495 | Camille Williams | Licensed Psychiatric Technician | 12440 Firestone Blvd Ste 3015, Norwalk, CA 90650-9333 | 2020-10-05 |
1316446552 | Camille Williams | Marriage & Family Therapist | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2018-02-02 |
1619337060 | Camille Williams | Counselor | 214 N Main St, Algonquin, IL 60102-2449 | 2016-02-27 |
1669873212 | Camille Williams | Social Worker | 237 26th St, Ogden, UT 84401-3105 | 2014-09-12 |
1801225735 | Camille Williams | Counselor | 770 Woodlane Rd, Medford Meadows Group Home, Mount Holly, NJ 08060 | 2013-11-01 |
1063853232 | Camille Williams | Case Manager/Care Coordinator | 3717 Taylorsville Rd, 1st Floor, Louisville, KY 40220-1333 | 2013-07-16 |
1730468018 | Camille V Williams | Nurse Practitioner | 109 N Blue Jay Dr, Liberty, MO 64068-1906 | 2011-08-04 |
1508011842 | Camille K Williams | Advanced Practice Midwife | 148 W River St Ste 8, Providence, RI 02904-2615 | 2008-12-01 |
Street Address |
7607 FERN AVW 403 |
City | SHREVEPORT |
State | LA |
Zip Code | 71105-5699 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
Find all providers in zip 71105 |
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 |
---|---|---|---|---|
1881163509 | Lavonda Moore | Behavior Technician | 7607 Fern Ave Ste 404405, Shreveport, LA 71105-5739 | 2018-11-26 |
1316467798 | Charles L Tilley Jr. | Behavior Technician | 4642 Bethume Dr, Shreveport, LA 71109-6634 | 2017-06-26 |
1346760717 | Melvina Harris | Behavior Technician | 700 Pierre Ave Ste A, Shreveport, LA 71103-2725 | 2017-06-26 |
1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
1396273249 | Kanisha Michelle Cooper | Behavior Technician | 1500 N Market St Ste C104, Shreveport, LA 71107-6545 | 2017-05-23 |
1740723345 | Patrice Bennett | Behavior Technician | 3817 Woodrow Ave, Shreveport, LA 71109-4435 | 2016-11-30 |
1013450154 | Vonetta Cook | Behavior Technician | 2715 Mackey Pl # Pl135, Shreveport, LA 71118-2544 | 2016-11-21 |
1386186625 | Barbara Simpson | Behavior Technician | 4130 Clover St, Shreveport, LA 71109-7220 | 2016-11-16 |
1548702749 | Evangela Robertson | Behavior Technician | 1651 E 70th St # 259, Shreveport, LA 71105-5115 | 2016-11-06 |
1962951822 | Antoinay Williams | Behavior Technician | 2715 Mackey Ln, Shreveport, LA 71118-2556 | 2016-10-03 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71105 |
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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.