Mitsuru Kodaka, M.S., B.C.B.A.
NPI #1013226653 in Fort Worth, Texas
Provider Information
- NPI Number
- 1013226653
- Entity Type
- Individual
- Name
- Mitsuru Kodaka, M.S., B.C.B.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- M.S., B.C.B.A.
- Enumeration Date
- Sep 30, 2010
- Last Updated
- Sep 30, 2010
Practice Location
- Address
- 1424 HEMPHILL ST
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-4703
- Phone
- (817) 759-7942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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