Provider Demographics
NPI:1750758041
Name:PASAT, IRINA (MS, BCBA)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:PASAT
Suffix:
Gender:F
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 1:3021 GATEWAY DR
Mailing Address - Street 2:STE 295
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-2639
Mailing Address - Country:US
Mailing Address - Phone:972-756-9170
Mailing Address - Fax:214-614-4650
Practice Address - Street 1:7801 MESQUITE BEND DR STE 105
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-6043
Practice Address - Country:US
Practice Address - Phone:972-756-9170
Practice Address - Fax:214-614-4650
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-13-13350103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst