Mitsuru Kodaka, M.S., B.C.B.A

NPI 1013226653 · on the registry since 2010 · sole proprietor

Practice

Address: 1424 Hemphill St
Fort Worth, TX 76104
Phone: (817) 759-7942
Fax: (817) 665-0878
Clinicians at this address: 2

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas