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NPI Code Detail

MEDICARE: IRINA PASAT M.S., BCBA

MEDICARE: IRINA PASAT M.S., 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
1103K00000XBehavior Analyst1-13-13350

General Provider Information

NPI Number : 1750758041
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRINA PASAT M.S., BCBA
Provider Business Mailing Address
First Line : 3021 GATEWAY DR
Second Line : STE 295
City : IRVING
State : TX
Zip : 75063-2639
Country : US
Telephone Number : 972-756-9170
Fax Number : 214-614-4650
Provider Business Practice Location Address
First Line : 7801 MESQUITE BEND DR STE 105
Second Line :
City : IRVING
State : TX
Zip : 75063-6043
Country : US
Telephone Number : 972-756-9170
Fax Number : 214-614-4650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2015
Last Update Date : 04/26/2018

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Directions to “ IRINA PASAT M.S., BCBA” Practice Location

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