Provider Demographics
NPI:1518435684
Name:JAMES, DETREVION BRIERRE (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:DETREVION
Middle Name:BRIERRE
Last Name:JAMES
Suffix:
Gender:M
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16143 TALONCREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5036
Mailing Address - Country:US
Mailing Address - Phone:832-301-1721
Mailing Address - Fax:
Practice Address - Street 1:5610 W RIVER PARK DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7902
Practice Address - Country:US
Practice Address - Phone:713-331-7664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011720681101YM0800X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health