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DR. TRACY J WILLIAMS PHD. BCBA NPI 1114180064


NPI Information

NPI: 1114180064
Provider Name: DR. TRACY J WILLIAMS, PH,D., BCBA
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

PECOS Registration: Yes

Address:
1105 W RUSSELL STREET
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 271-2690
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DR. Tracy J Williams, PH,D., BCBA is a cognitive and behavioral psychologist in Sioux Falls, SD with 26 years of experience. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Tracy J Williams, PH,D., BCBA NPI is 1114180064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1105 W RUSSELL STREET
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 271-2690
Fax: (605) 271-3956

The NPI 1114180064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 7/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist419SOUTH DAKOTANo
2103TB0200XPsychologistCognitive & BehavioralYes
3103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
4103K00000XBehavior Analyst1-03-1438SOUTH DAKOTANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16551930MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.