Provider Demographics
NPI:1871038455
Name:WEBB, MYA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MYA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:MYA
Other - Middle Name:
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:8190 BARKER CYPRESS RD STE 1500
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2277
Mailing Address - Country:US
Mailing Address - Phone:281-839-2711
Mailing Address - Fax:
Practice Address - Street 1:8190 BARKER CYPRESS RD STE 1500
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2277
Practice Address - Country:US
Practice Address - Phone:281-839-2711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst