Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003208810 |
---|---|
Provider Name | Jason Vinocur |
First Address | Plano, TX 75074-6302 |
Second Address | Mckinney, TX 75071-5504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2015 |
Last Update Date | 03/12/2018 |