Individual ProviderNaisa Kenniece WilliamsBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address19401 40th Ave W, Lynnwood, WA 98036-4612(800) 789-3062PECOS EnrollmentBased on the most recent information from CMS, provider Naisa Kenniece Williams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871348599Provider TypeIndividualFull NameWilliams, Naisa KennieceGenderFemaleSole ProprietorYesEnumeration Date4/18/2024Last Updated4/18/2024Contact InformationPractice LocationPractice Address19401 40th Ave W, Lynnwood, WA 98036-4612Phone(800) 789-3062FaxUnlisted FaxMailing LocationMailing Address19401 40th Ave W, Lynnwood, WA 98036-4612Phone(800) 789-3062FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106E00000XDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer