Provider Demographics
NPI:1740853720
Name:CALLAWAY, PRISCILLA KATHERINE (MA, LBA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:KATHERINE
Last Name:CALLAWAY
Suffix:
Gender:F
Credentials:MA, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 N BONNIE BRAE ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2421
Mailing Address - Country:US
Mailing Address - Phone:940-536-3296
Mailing Address - Fax:
Practice Address - Street 1:1160 N BONNIE BRAE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2421
Practice Address - Country:US
Practice Address - Phone:940-536-3296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9322103K00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician