Provider Demographics
NPI:1760925069
Name:JAMES, JUSTIN WILLIAM (MED, BCBA, LBA)
Entity type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:WILLIAM
Last Name:JAMES
Suffix:
Gender:M
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 W TURNEY AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-2946
Mailing Address - Country:US
Mailing Address - Phone:480-204-0284
Mailing Address - Fax:
Practice Address - Street 1:522 W TURNEY AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-2946
Practice Address - Country:US
Practice Address - Phone:480-204-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBA-0244103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst