MR. James Evensen, MA BCBA

NPI #1942557889 in Daytona Beach Shores, Florida

Provider Information

NPI Number: 1942557889
Entity Type: Individual
Name: MR. James Evensen, MA BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MA BCBA
Enumeration Date: Aug 9, 2012
Last Updated: Aug 9, 2024

Practice Location

Address: 3408 S ATLANTIC AVE
Address 2: PMB 1052
City: Daytona Beach Shores
State: Florida
ZIP Code: 32118
Phone: (321) 947-1938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Social Worker	104100000X

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