Provider Demographics
NPI:1588554703
Name:WOODS, JAY'LA
Entity type:Individual
Prefix:
First Name:JAY'LA
Middle Name:
Last Name:WOODS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 E PROSPER TRL BLDG B
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-2785
Mailing Address - Country:US
Mailing Address - Phone:972-312-8733
Mailing Address - Fax:
Practice Address - Street 1:6105 WINDCOM CT STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-9003
Practice Address - Country:US
Practice Address - Phone:972-388-4779
Practice Address - Fax:972-312-8733
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-25-407083106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician