Individual provider · Type 1 NPI

Mitsuru Kodaka, M.S., B.C.B.A.

Behavior Analyst · Fort Worth, TX

NPI number 1013226653 Active

Practice location

1424 Hemphill St
Fort Worth, TX 76104-4703

Call (817) 759-7942 Map

Fax (817) 665-0878

Mailing address

102 N 3rd St
Sanger, TX 76266-4827

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-10-6877 (TX)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1013226653

Mitsuru Kodaka, M.S., B.C.B.A.'s National Provider Identifier is 1013226653, issued on Sep 30, 2010. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 30, 2010.