Provider Demographics
NPI:1679385769
Name:DONALD, JENNIFER EFFENBERGER (BCBA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:EFFENBERGER
Last Name:DONALD
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 1:34547 FM 1301 RD
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:TX
Mailing Address - Zip Code:77486-9810
Mailing Address - Country:US
Mailing Address - Phone:361-944-3195
Mailing Address - Fax:
Practice Address - Street 1:106 CIRCLE WAY ST STE C
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5270
Practice Address - Country:US
Practice Address - Phone:281-310-0632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst