Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-21-12227 | FL |
N | 106S00000X | Behavior Technician | 1-04-1699 | FL |
NPI | 1053851097 |
---|---|
Provider Name | James L Wilhelm |
First Address | Venice, FL 34285-4719 |
Second Address | Venice, FL 34285-4719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2017 |
Last Update Date | 06/07/2021 |