Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shamel Supreme Williams

Individual provider Behavior Technician · NPI 1871453308

Shamel Supreme Williams is a Behavior Technician in Bayside, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

3635 Bell Blvd
Bayside, NY 11361-2167
Phone: (347) 321-4094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence A78399 (NY)

Record details

NPI number1871453308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address996 Royal Marco Way, Marco Island, FL 34145-1829

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