Provider Demographics
NPI:1750859427
Name:SANDERS, JAMONCIE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:JAMONCIE
Middle Name:
Last Name:SANDERS
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 ALMA RD APT 2162
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7313
Mailing Address - Country:US
Mailing Address - Phone:214-762-8259
Mailing Address - Fax:
Practice Address - Street 1:200 CYPRESS BEND PKWY STE B3
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-1030
Practice Address - Country:US
Practice Address - Phone:469-936-0060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-10
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
TX1-22-59330103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician