Provider Demographics
NPI:1528636420
Name:MONSIVAIS, TABITHA (MA, BCBA)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:
Last Name:MONSIVAIS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 JONES RD STE 102
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5706
Mailing Address - Country:US
Mailing Address - Phone:346-354-2069
Mailing Address - Fax:
Practice Address - Street 1:8301 JONES RD STE 102
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77065-5706
Practice Address - Country:US
Practice Address - Phone:346-354-2069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TX1-25-82095103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician