Provider Demographics
NPI:1447918578
Name:MONROE, NAYA (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:NAYA
Middle Name:
Last Name:MONROE
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 DECKER DR STE 360
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-8189
Mailing Address - Country:US
Mailing Address - Phone:210-629-2010
Mailing Address - Fax:
Practice Address - Street 1:300 DECKER DR STE 360
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-8189
Practice Address - Country:US
Practice Address - Phone:210-629-2010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7456103K00000X
TX1-24-75422103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst