Provider Demographics
NPI:1437810918
Name:CHANEY, JASMINE A (BCBA)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:A
Last Name:CHANEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7751 BARKER CYPRESS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4447
Mailing Address - Country:US
Mailing Address - Phone:832-427-6121
Mailing Address - Fax:
Practice Address - Street 1:7751 BARKER CYPRESS RD STE 300
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4447
Practice Address - Country:US
Practice Address - Phone:832-427-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst