Individual provider · NPI-1
Michael James Banks
Behavior Analyst · Killeen, TX
NPI number1982307195
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1982307195
- Entity type
- Individual (NPI-1)
- Name
- Michael James Banks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2023
- Certification date
- Mar 24, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | CB61353675 | WA | Yes |
Practice location
4003 W Stan Schlueter LoopKilleen, TX 76549-6119
Phone 719-352-2081
Mailing address
1420 30th St Se Apt 17Auburn, WA 98002-8105
Phone 509-212-5020
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