Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 845 | TN |
NPI | 1013169804 |
---|---|
Provider Name | Andrea Marie Kramer |
First Address | Carmel, CA 93923-8516 |
Second Address | El Paso, TX 79906-4951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2008 |
Last Update Date | 26/08/2021 |