Individual provider · Type 1 NPI

Jon Ryan Micklis

Behavior Analyst · Phoenix, AZ

NPI number 1205337797 Active

Practice location

2400 W Dunlap Ave Ste 100
Phoenix, AZ 85021-2813

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Analyst Primary 103K00000XNone listed

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 1205337797

Jon Ryan Micklis's National Provider Identifier is 1205337797, issued on Feb 21, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 21, 2018.