Basic Information
| Provider Information | |||||||||
| NPI: | 1578146361 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHEIKH | ||||||||
| FirstName: | JAMILA | ||||||||
| MiddleName: | AMIE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS, BCBA, LBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11301 FARRAH UNIT 917 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787487908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6515878914 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 120 PRECISION UNIT A100 | ||||||||
| Address2: | |||||||||
| City: | BUDA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786105823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123544300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2021 | ||||||||
| LastUpdateDate: | 04/30/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.