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Kejuan Sullivan Williams
Attendant Care Provider in Rossford, Ohio
NPI 1003381567

Kejuan Sullivan Williams is an Attendant Care Provider based in Toledo, OH and is specialized in Attendant Care Provider. Kejuan Sullivan Williams practices in Rossford, OH. The NPI Number for Kejuan Sullivan Williams is 1003381567 and holds a License No. (Ohio).

The current practice location address for Kejuan Sullivan Williams is 690 Dixie Hwy, Rossford, OH and can be reached out via phone at 614-844-3800.

Location: 690 Dixie Hwy, Rossford, OH, 43614-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003381567
Provider Name
Kejuan Sullivan Williams
Credential
Provider Entity Type
Individual
Gender
Male
Address
690 Dixie Hwy, Rossford, OH, 43614-4806
Phone Number
614-844-3800
Fax Number
Provider Enumeration Date
10/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W452465778878 01 MI DRIVERS LICENSE NUMBER
2615030 05 OH
institution
Provider Business Practice Location Address Details
Address
690 Dixie Hwy
City
Rossford
State
Ohio
Zip
43460-1221
Phone Number
614-844-3800
Fax Number
person
Provider Business Mailing Address Details
Address
690 Dixie Hwy
City
Rossford
State
Ohio
Zip
43460-1221
Phone Number
614-844-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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