Provider Demographics
NPI:1326656455
Name:WILLIAMS ESPINOZA, CHERELLE (BCABA)
Entity type:Individual
Prefix:
First Name:CHERELLE
Middle Name:
Last Name:WILLIAMS ESPINOZA
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 COCKATIEL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-3113
Mailing Address - Country:US
Mailing Address - Phone:804-475-7461
Mailing Address - Fax:
Practice Address - Street 1:303 HOLMAN ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-3994
Practice Address - Country:US
Practice Address - Phone:718-970-1279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0134000312106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst