Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 103K00000X | Behavior Analyst | 1-21-52065 | FL |
N | 106S00000X | Behavior Technician |
NPI | 1003222977 |
---|---|
Provider Name | Jacob Edward Tonna |
First Address | Casselberry, FL 32707-5505 |
Second Address | Casselberry, FL 32707-5505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2014 |
Last Update Date | 08/12/2021 |