Provider Demographics
NPI:1023573573
Name:HOVSEPIAN, JONATHAN STEVEN
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:STEVEN
Last Name:HOVSEPIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21422 RYANS PATH LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-2332
Mailing Address - Country:US
Mailing Address - Phone:707-978-6969
Mailing Address - Fax:
Practice Address - Street 1:21422 RYANS PATH LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-2332
Practice Address - Country:US
Practice Address - Phone:707-978-6969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
TX1-24-70947103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician