Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003418047 |
---|---|
Provider Name | Amy E Whiting |
First Address | Livermore, CA 94551-8234 |
Second Address | Livermore, CA 94551-8234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2020 |
Last Update Date | 13/11/2020 |