Individual
FERNIE ROMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LBA
Contact information
Practice address
8915 S HARL AVE, TEMPE, AZ 85284-1030
(480) 672-0536
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-75864
—
103K00000X
Behavior Analyst
Primary
BEH-001417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-75864
BCBA CERTIFICATE
—
Enumeration date
04/15/2021
Last updated
02/10/2025
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