Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003157710 |
---|---|
Provider Name | Robert Jones |
First Address | Palm Beach Gardens, FL 33403-1606 |
Second Address | Palm Beach Gardens, FL 33403-1606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2013 |
Last Update Date | 08/01/2019 |