Provider Demographics
NPI:1750817136
Name:ALNASSER, THOURAYA (PHD, BCBA-D, LBA)
Entity Type:Individual
Prefix:
First Name:THOURAYA
Middle Name:
Last Name:ALNASSER
Suffix:
Gender:F
Credentials:PHD, BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 COPPERSHIRE CV S BLDG 7
Mailing Address - Street 2:APT 201
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1041
Mailing Address - Country:US
Mailing Address - Phone:775-313-6375
Mailing Address - Fax:
Practice Address - Street 1:4055 N. PARK LOOP, MEMPHIS
Practice Address - Street 2:SUITE 1501
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38152-3815
Practice Address - Country:US
Practice Address - Phone:775-313-6375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN862103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst