Provider Demographics
NPI:1487004958
Name:CONTE, JAYDEN (BCBA)
Entity Type:Individual
Prefix:
First Name:JAYDEN
Middle Name:
Last Name:CONTE
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 1:6105 WINDCOM CT STE 400
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-9003
Mailing Address - Country:US
Mailing Address - Phone:972-312-8733
Mailing Address - Fax:972-378-4747
Practice Address - Street 1:6105 WINDCOM CT STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-9003
Practice Address - Country:US
Practice Address - Phone:972-312-8733
Practice Address - Fax:972-378-4747
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-15-20954103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst