Individual
JEZELLE MERCEDES WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2836 KIMBERLIE CT, ANCHORAGE, AK 99508-5329
(907) 349-4222
Mailing address
2836 KIMBERLIE CT, ANCHORAGE, AK 99508-5329
(907) 349-4222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
160249
AK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/12/2018
Last updated
06/08/2020
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