Provider Demographics
NPI:1992486328
Name:WARD, DAESJAH J
Entity type:Individual
Prefix:
First Name:DAESJAH
Middle Name:J
Last Name:WARD
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 1:6357 FRANKLIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-8147
Mailing Address - Country:US
Mailing Address - Phone:254-285-4471
Mailing Address - Fax:
Practice Address - Street 1:6357 FRANKLIN VIEW DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-8147
Practice Address - Country:US
Practice Address - Phone:254-285-4471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician