Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | ||
Y | 106S00000X | Behavior Technician |
NPI | 1083216972 |
---|---|
Provider Name | Robert S Mcintosh |
First Address | Dayton, OH 45449-3364 |
Second Address | Dayton, OH 45449-3364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2020 |
Last Update Date | 15/11/2020 |