Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-54247 | FL |
NPI | 1003452632 |
---|---|
Provider Name | Anna Schulz |
First Address | Bloomington, MN 55425-1230 |
Second Address | Bloomington, MN 55425-1230 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2019 |
Last Update Date | 01/02/2022 |