Provider Demographics
NPI:1528852936
Name:WILLIAMS, LATOYA D (LBA, BCBA)
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LBA, BCBA
Other - Prefix:MRS
Other - First Name:LATOYA
Other - Middle Name:DENISE
Other - Last Name:HIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBA, BCBA
Mailing Address - Street 1:2253 AUTUMN RD
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-2706
Mailing Address - Country:US
Mailing Address - Phone:573-714-1897
Mailing Address - Fax:
Practice Address - Street 1:2253 AUTUMN RD
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2706
Practice Address - Country:US
Practice Address - Phone:573-714-1897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022003511103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst