MEDICARE: JENNIFER COLLINS MSW, MA, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	8450	TX

General Provider Information

NPI Number	:	1871142588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER COLLINS MSW, MA, BCBA

Provider Business Mailing Address
First Line	:	1321 PALMETTO LN
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3488
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19701 KINGWOOD DR STE 8
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3775
Country	:	US
Telephone Number	:	855-782-7822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	10/23/2025

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