Provider Demographics
NPI:1629889886
Name:KELLY, SYEDA FARWA ZEHRA (BCBA)
Entity type:Individual
Prefix:
First Name:SYEDA FARWA
Middle Name:ZEHRA
Last Name:KELLY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 99335
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76199-0335
Mailing Address - Country:US
Mailing Address - Phone:940-369-5373
Mailing Address - Fax:940-800-2862
Practice Address - Street 1:490 S INTERSTATE 35 E
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7768
Practice Address - Country:US
Practice Address - Phone:940-369-5373
Practice Address - Fax:940-800-2862
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7960103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst