Provider Demographics
NPI:1265229314
Name:WILLIAMS, WILLIAM-ALBERT ROBERT
Entity type:Individual
Prefix:
First Name:WILLIAM-ALBERT
Middle Name:ROBERT
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:ALBERT
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2730 E ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-9214
Mailing Address - Country:US
Mailing Address - Phone:989-827-8043
Mailing Address - Fax:
Practice Address - Street 1:835 LOUISA ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-0213
Practice Address - Country:US
Practice Address - Phone:313-497-2665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician