Provider Demographics
NPI:1316300817
Name:WILLIAMS, ANNA ELIZABETH (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ELIZABETH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:ELIZABETH TERRELL
Other - Last Name:CROWDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BCBA
Mailing Address - Street 1:PO BOX 80901
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29416-0901
Mailing Address - Country:US
Mailing Address - Phone:843-259-8853
Mailing Address - Fax:
Practice Address - Street 1:1964 ASHLEY RIVER RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29416-1400
Practice Address - Country:US
Practice Address - Phone:843-259-8853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst