Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003410200 |
---|---|
Provider Name | Allison Elizabeth Mcnally |
First Address | Stuart, FL 34997-7462 |
Second Address | San Diego, CA 92101-3546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2020 |
Last Update Date | 27/08/2021 |