Provider Demographics
NPI:1902573215
Name:PACHON MAYORGA, JULY CATALINA (MA, BCBA, LBA-TX)
Entity Type:Individual
Prefix:
First Name:JULY
Middle Name:CATALINA
Last Name:PACHON MAYORGA
Suffix:
Gender:F
Credentials:MA, BCBA, LBA-TX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21630 MERCHANTS WAY STE D
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2514
Mailing Address - Country:US
Mailing Address - Phone:832-230-1939
Mailing Address - Fax:281-741-7355
Practice Address - Street 1:21630 MERCHANTS WAY STE D
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2514
Practice Address - Country:US
Practice Address - Phone:832-230-1939
Practice Address - Fax:281-741-7355
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4285103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst