Individual
JOSHUA HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2417 PRESIDIO VISTA DR, FORT WORTH, TX 76177-8275
(682) 316-9008
Mailing address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
(817) 952-8917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB611594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB611594
BCBA
TX
01
—
RBT-20-138412
RBT
TX
Enumeration date
10/07/2020
Last updated
06/21/2024
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