Provider Demographics
NPI:1962908269
Name:PEJOVICH, HALEY (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:PEJOVICH
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:BRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4917 GOLDEN TRIANGLE BLVD UNIT 421
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-4480
Mailing Address - Country:US
Mailing Address - Phone:817-734-6515
Mailing Address - Fax:
Practice Address - Street 1:4917 GOLDEN TRIANGLE BLVD UNIT 421
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-4480
Practice Address - Country:US
Practice Address - Phone:817-734-6515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2025-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8903103K00000X
TXRBT-17-37249106S00000X
TX103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician