Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | FL |
NPI | 1003352980 |
---|---|
Provider Name | Alina Suares |
First Address | Hialeah, FL 33012-5909 |
Second Address | Hialeah, FL 33012-5909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2017 |
Last Update Date | 16/01/2017 |