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NPI Code Detail

MEDICARE: JASON CHRISTOPHER ANDERSON BCBA

MEDICARE:   JASON CHRISTOPHER ANDERSON  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 Analyst

General Provider Information

NPI Number : 1912855354
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON CHRISTOPHER ANDERSON BCBA
Provider Business Mailing Address
First Line : 4440 E MAIN ST
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-5576
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4440 E MAIN ST
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-5576
Country : US
Telephone Number : 469-257-1401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ JASON CHRISTOPHER ANDERSON BCBA” Practice Location

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