Individual
MARLON CHARLES WILLIAMS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 INDIANA AVE, PROVIDENCE, RI 02905-5302
(401) 413-0615
Mailing address
1361 CHALKSTONE AVE, PROVIDENCE, RI 02909-3909
(401) 413-0615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
07/08/2023
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