Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003416637 |
---|---|
Provider Name | Alma Daniela Armenta |
First Address | San Francisco, CA 94139-9318 |
Second Address | Oakland, CA 94612-3747 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2020 |
Last Update Date | 01/11/2020 |