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Individual

JOSIAH WHITWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
11906 ARBOR ST, OMAHA, NE 68144-2900
(314) 834-8010
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(314) 834-8010

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8644191-2506
UT
106E00000X
Assistant Behavior Analyst
8644191-2507
UT
106S00000X
Behavior Technician
RBT-18-53305
UT

Other

Enumeration date
04/29/2018
Last updated
01/07/2025
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