Provider Demographics
NPI:1619537818
Name:STENNETT, JANAY
Entity type:Individual
Prefix:
First Name:JANAY
Middle Name:
Last Name:STENNETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12806 BUFFALO SPEEDWAY APT 7206
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-5772
Mailing Address - Country:US
Mailing Address - Phone:516-406-4568
Mailing Address - Fax:
Practice Address - Street 1:3190 S VAUGHN WAY
Practice Address - Street 2:SUITE 550
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3512
Practice Address - Country:US
Practice Address - Phone:303-989-8169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TX103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician