Provider Demographics
NPI:1225584915
Name:FRANCIS, TATIANA (BCBA, LBA, LPC)
Entity Type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:BCBA, LBA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14805 SUNNY LAND AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-3142
Mailing Address - Country:US
Mailing Address - Phone:843-324-9070
Mailing Address - Fax:
Practice Address - Street 1:1370 PULLMAN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7788
Practice Address - Country:US
Practice Address - Phone:843-324-9070
Practice Address - Fax:915-701-2860
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87895101YM0800X, 101YP2500X
1-19-34483103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst