Provider Demographics
NPI:1730952748
Name:WILLIAMS, ROBYN (BCBA)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1368 HIGHWAY 16 E
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:AR
Mailing Address - Zip Code:72031-8824
Mailing Address - Country:US
Mailing Address - Phone:501-253-3251
Mailing Address - Fax:
Practice Address - Street 1:1368 HIGHWAY 16 E
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:AR
Practice Address - Zip Code:72031-8824
Practice Address - Country:US
Practice Address - Phone:501-253-3251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1-23-68817103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst