Individual
PAUL TYLER PROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA, LBA
Contact information
Practice address
700 RIFE RD APT 9G, WAYNESBORO, VA 22980-4949
(434) 906-9539
Mailing address
700 RIFE RD APT 9G, WAYNESBORO, VA 22980-4949
(434) 906-9539
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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