Provider Demographics
NPI:1992580179
Name:WILLIAMS, TILANDREA (LBA, BCBA)
Entity type:Individual
Prefix:
First Name:TILANDREA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8810 N MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-8056
Mailing Address - Country:US
Mailing Address - Phone:469-788-8583
Mailing Address - Fax:
Practice Address - Street 1:7801 MESQUITE BEND DR STE 105
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-6043
Practice Address - Country:US
Practice Address - Phone:972-756-9170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6203103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst