Provider Demographics
NPI:1689903288
Name:DEBASTIANI, NHU QUACH (BCBA)
Entity type:Individual
Prefix:MS
First Name:NHU
Middle Name:QUACH
Last Name:DEBASTIANI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:NHU
Other - Middle Name:LE
Other - Last Name:QUACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:2409 N THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77303-1731
Mailing Address - Country:US
Mailing Address - Phone:936-445-6533
Mailing Address - Fax:877-228-8981
Practice Address - Street 1:2409 N THOMPSON ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77303-1731
Practice Address - Country:US
Practice Address - Phone:936-445-6533
Practice Address - Fax:877-228-8981
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst