Provider Demographics
NPI:1144110743
Name:WILLIAMS, ROBERT II
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8506 W HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-1209
Mailing Address - Country:US
Mailing Address - Phone:419-902-6878
Mailing Address - Fax:602-671-6876
Practice Address - Street 1:8506 W HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-1209
Practice Address - Country:US
Practice Address - Phone:419-902-6878
Practice Address - Fax:602-671-6876
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician