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Individual

COREY WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED., BCBA

Contact information

Practice address
324 GROVE ST, WORCESTER, MA 01605-3936
(818) 241-6780
(818) 241-6853
Mailing address
505 N BRAND BLVD, #1000, GLENDALE, CA 91203-1906
(818) 241-6780
(818) 241-6853

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15424
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-14-15424
BCBA
MA
Enumeration date
04/08/2014
Last updated
04/08/2014
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