Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-21-12407 | CA |
N | 106S00000X | Behavior Technician | F3491805 | CA |
NPI | 1104327204 |
---|---|
Provider Name | Amy Hamilton |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Folsom, CA 95630-3222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2018 |
Last Update Date | 22/07/2021 |