Individual
PAUL TYLER PROULX
Active
Individual
PAUL TYLER PROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000215
VA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0133000215
VA
Other
Enumeration date
03/19/2009
Last updated
10/02/2023
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