Provider Demographics
NPI:1497343115
Name:DHALIWAL, JASPREET KAUR (BCBA)
Entity type:Individual
Prefix:
First Name:JASPREET
Middle Name:KAUR
Last Name:DHALIWAL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 POWELL ST STE 900
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1888
Mailing Address - Country:US
Mailing Address - Phone:510-542-5775
Mailing Address - Fax:855-847-6790
Practice Address - Street 1:2000 POWELL ST STE 900
Practice Address - Street 2:
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1888
Practice Address - Country:US
Practice Address - Phone:510-542-5775
Practice Address - Fax:855-847-6790
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-25-83315103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst