Individual
IAN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
88 BANK ST, NEW LONDON, CT 06320-6083
(860) 495-3658
Mailing address
88 BANK ST, NEW LONDON, CT 06320-6083
(860) 495-3658
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1191
NC
103K00000X
Behavior Analyst
887
CT
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-38401
BCBA CERTIFICATE
—
Enumeration date
02/15/2018
Last updated
01/17/2024
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