NPI 1013341395

Jacob Boney, PSYDBCBAD

Practitioner Behavior Analyst Phoenix, AZ

Practice location

Address: 10251 N 35th Ave, Phoenix, AZ 85051-1305
Phone: (602) 926-7200
Mailing address: 2155 S 55th St APT 3011, Tempe, AZ 85282-2039

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence BA-91 (AZ)

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Registry record

NPI: 1013341395
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2013
Record last updated: 22 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.