Provider Demographics
NPI:1194511956
Name:SAJJAD, KISHWAR (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:KISHWAR
Middle Name:
Last Name:SAJJAD
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 PIPERS CREEK ST UNIT 153
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-2484
Mailing Address - Country:US
Mailing Address - Phone:210-419-9948
Mailing Address - Fax:
Practice Address - Street 1:10622 TX- 151 ACTION BEHAVIOR CENTER
Practice Address - Street 2:UNIT 115
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-2425
Practice Address - Country:US
Practice Address - Phone:210-964-6668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8275103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty