O'Shane J Back Valid NPI

Individual provider · Behavior Analyst · Philadelphia, PA

NPI

1669956116

Type

Individual (Type 1)

Primary specialty

Behavior Analyst

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103K00000X

Sex

Male

Sole proprietor

No

Enumerated

2018-09-20

Last updated

2018-09-20