Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-11-9013 | CA |
NPI | 1003251711 |
---|---|
Provider Name | Kevin Ho |
First Address | San Gabriel, CA 91776-4240 |
Second Address | San Gabriel, CA 91776-4240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2013 |
Last Update Date | 01/07/2014 |