Individual provider · Type 1 NPI

Donovan G. Gardner

Assistant Behavior Analyst · Modesto, CA

NPI number 1164032314 Active

Practice location

1115 14th St
Modesto, CA 95354-1003

Call (209) 572-2589 Map

Fax (209) 572-1461

Mailing address

PO Box 5157
Modesto, CA 95352-5157

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XNone listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1164032314

Donovan G. Gardner's National Provider Identifier is 1164032314, issued on Aug 3, 2020. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 3, 2020.