Provider Demographics
NPI:1497247183
Name:PAYAN, JULIENNE HOPE
Entity type:Individual
Prefix:
First Name:JULIENNE
Middle Name:HOPE
Last Name:PAYAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 WINSTON PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-1428
Mailing Address - Country:US
Mailing Address - Phone:915-401-1944
Mailing Address - Fax:
Practice Address - Street 1:1120 WINSTON PL
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-1428
Practice Address - Country:US
Practice Address - Phone:915-401-1944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-18-59981106S00000X
TX0-25-16063106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician