Williamson, Kimberly Ann
Williamson, Kimberly Ann is an individual health care provider with primary practice located at 2203 E Empire St Suite G, Bloomington IL 61704-3706. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Williamson, Kimberly Ann can be contacted via phone (309) 662-5050.Contact Information
Primary practice address
2203 E Empire St Suite G
Bloomington IL 61704-3706
Phone: (309) 662-5050
Fax: (630) 303-9704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-07-3716 | Illinois |
Profile Details
| NPI number | 1801067400 |
|---|---|
| LBN Legal business name | Williamson, Kimberly Ann |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2008 |
| Last updated | Aug 11th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801067400 | NPPES |
| Illinois | Other | 1-07-3716 | BACB CERTIFICANT |
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