Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013314160 |
---|---|
Provider Name | Adrianna Hawkins |
First Address | Soledad, CA 93960-2928 |
Second Address | Soledad, CA 93960-2928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2014 |
Last Update Date | 04/12/2014 |