Individual provider · Type 1 NPI
Kizito Azuka Agboma
Assistant Behavior Analyst · Antioch, CA
Practice location
3100 Delta Fair Blvd
Antioch, CA 94509-4001
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | None listed |
| Assistant Behavior Analyst Primary | 106E00000X | None 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 1821636671
Kizito Azuka Agboma's National Provider Identifier is 1821636671, issued on Dec 11, 2019. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Antioch, CA. The record was last updated on Dec 11, 2019.