Mitsuru Kodaka
Behavior Analyst
1424 Hemphill St
Fort Worth
, Texas 76104-4703
Mitsuru Kodaka
Behavior Analyst
1424 Hemphill St
Fort Worth
, Texas 76104-4703
(817) 665-0878
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Mitsuru Kodaka
- 102 N 3rd St
- Sanger, TX
- Zip : 76266-4827
- Fax : (817) 665-0878
- Phone : (940) 300-6854
Second Address
- Mitsuru Kodaka
- 1424 Hemphill St
- Fort Worth, TX
- Zip : 76104-4703
- Fax : (817) 665-0878
- Phone : (817) 759-7942
Reviews
FAQs
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Is Mitsuru Kodaka a sole practitioner?
Is Mitsuru Kodaka accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-10-6877 | TX |
National Provider Identifier
| NPI | 1013226653 |
|---|---|
| Provider Name | Mitsuru Kodaka |
| First Address | Sanger, TX 76266-4827 |
| Second Address | Fort Worth, TX 76104-4703 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2010 |
| Last Update Date | 30/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.