Provider Demographics
NPI:1134497720
Name:BLELL, ZAINAB DENYS (MS, BCBA)
Entity Type:Individual
Prefix:MISS
First Name:ZAINAB
Middle Name:DENYS
Last Name:BLELL
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E ROYAL LN
Mailing Address - Street 2:BLDG 3, STE 290
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3540
Mailing Address - Country:US
Mailing Address - Phone:855-832-6727
Mailing Address - Fax:772-675-9100
Practice Address - Street 1:400 E ROYAL LN
Practice Address - Street 2:BLDG 3, STE 290
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3540
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:772-675-9100
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-11-9695103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12329494OtherCAQH
TX0004BFOtherBCBS PROVIDER NUMBER
TX9154794OtherAETNA PROVIDER NUMBER