Provider Demographics
NPI:1346976867
Name:BEHL, JOANNA CATHERINE
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:CATHERINE
Last Name:BEHL
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 1:6928 CATAMARAN DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-7219
Mailing Address - Country:US
Mailing Address - Phone:214-713-7335
Mailing Address - Fax:
Practice Address - Street 1:5750 GENESIS CT
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4168
Practice Address - Country:US
Practice Address - Phone:214-367-6637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator