Provider Demographics
NPI:1972358836
Name:RASUL, WAJEEHA
Entity Type:Individual
Prefix:
First Name:WAJEEHA
Middle Name:
Last Name:RASUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 SEABROOK DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-2927
Mailing Address - Country:US
Mailing Address - Phone:214-546-4867
Mailing Address - Fax:
Practice Address - Street 1:5160 VILLAGE CREEK DR STE 2002
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4498
Practice Address - Country:US
Practice Address - Phone:682-324-9376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBACB1117695106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician