Provider Demographics
NPI:1356793103
Name:JAGPAL, JASPREET (BCBA)
Entity type:Individual
Prefix:
First Name:JASPREET
Middle Name:
Last Name:JAGPAL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:686 SHANGHAI BEND RD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-8326
Mailing Address - Country:US
Mailing Address - Phone:530-329-6368
Mailing Address - Fax:530-671-7866
Practice Address - Street 1:686 SHANGHAI BEND RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-8326
Practice Address - Country:US
Practice Address - Phone:530-329-6368
Practice Address - Fax:530-671-7866
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-16-22144103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst