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Individual
JAMES ROSS ANDERSON
Active
Individual
JAMES ROSS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57572
IN
106S00000X
Behavior Technician
RBT-19-76423
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-57572
BEHAVIOR ANALYST CERTIFICATION BOARD
IN
Enumeration date
09/03/2020
Last updated
02/02/2022
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