Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | CA |
NPI | 1144848482 |
---|---|
Provider Name | Alexander Hanes |
First Address | Modesto, CA 95352-5157 |
Second Address | Granite Bay, CA 95746-5904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2020 |
Last Update Date | 13/07/2020 |