1497225114 NPI number — MRS. CECILIA FERNANDES DA SILVA WILLIAMS M.A., BCBA

Table of content: MRS. CECILIA FERNANDES DA SILVA WILLIAMS M.A., BCBA (NPI 1497225114)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497225114 NPI number — MRS. CECILIA FERNANDES DA SILVA WILLIAMS M.A., BCBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
CECILIA
Provider Middle Name:
FERNANDES DA SILVA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., BCBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FERNANDES DA SILVA
Provider Other First Name:
CECILIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497225114
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
280 STUART ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80219-1134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-200-6110
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10730 E BETHANY DR STE 155
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80014-2692
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-634-9502
Provider Business Practice Location Address Fax Number:
720-634-9502
Provider Enumeration Date:
11/26/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103K00000X , with the licence number: 1-22-61605 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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