Individual provider · Type 1 NPI

Mark Dustin Tidwell

Behavior Analyst · Albuquerque, NM

NPI number 1285921999 Active

Practice location

1218 Griegos Rd NW
Albuquerque, NM 87107

Mailing address

1218 Griegos Road North West, Hogares
Albuquerque, NM 87107

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X504368441 (NM)

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 1285921999

Mark Dustin Tidwell's National Provider Identifier is 1285921999, issued on Jul 1, 2011. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 1, 2011.