Individual
LARISSA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5033 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-2510
(631) 901-3711
Mailing address
503 PHILLIPS AVE, PORTSMOUTH, VA 23707-4237
(773) 756-6381
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-324650
IL
106S00000X
Behavior Technician
Primary
RBT-24-324650
VA
Other
Enumeration date
04/22/2024
Last updated
05/19/2026
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