Individual
CHARLES ANDREW PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA, LBA
Contact information
Practice address
3602 E GREENWAY RD STE 102, PHOENIX, AZ 85032-4648
(602) 560-2832
(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
1-24-72441
—
103K00000X
Behavior Analyst
Primary
BEH-001534
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-72441
BCBA CERTIFICATE
—
Enumeration date
09/20/2021
Last updated
10/07/2024
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