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Deactivated NPI 1174210090 Deactivated / Inactive NPI Male Practitioner

Shaderian Williams

Behavior Technician • Bakersfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shaderian Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2023
NPI Deactivation Date March 20, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Shaderian Williams was a registered Behavior Technician practicing in Bakersfield, CA. Throughout an active medical career spanning 1 years, Shaderian Williams provided care at the practice location at 5080 CALIFORNIA AVE STE 250 until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

5080 California Ave Ste 250

Bakersfield, CA 933090732

Telephone 6612583240

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Bakersfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
1684 Specialists

Practicing in Bakersfield, CA (172337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Stephanie Cervantes

Behavior Technician

NPI 1003590217
Kenia Garcia Sanchez

Behavior Technician

NPI 1003770421
Mildred Marcicano

Behavior Technician

NPI 1003773797
Kyla Edwards , BCBA

Behavior Technician

NPI 1013598887

Board Certified Behavior Analyst

Valorie Gonzales

Behavior Technician

NPI 1013878867
Javan Vargas

Behavior Technician

NPI 1013882331

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active April 20, 2023

NPI status registered as active in NPPES database

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Updated Practice Location April 20, 2023

Registered at 5080 CALIFORNIA AVE STE 250, BAKERSFIELD, CA 933090732 (Tel: 6612583240)

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Updated Business Mailing Address April 20, 2023

Registered at 5080 CALIFORNIA AVE STE 250, BAKERSFIELD, CA 933090732 (Tel: 6612583240)

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Provider Name / Credentials Updated April 20, 2023

Recorded as SHADERIAN WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2023

Behavior Technician

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Initial NPI Registration & Enumeration April 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174210090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2023
Last Update: April 20, 2023
Deactivation Date: March 20, 2024

Mailing Address

5080 California Ave Ste 250

Bakersfield, CA 933090732

Phone: 6612583240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.