Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-21-11944 | FL |
NPI | 1073006169 |
---|---|
Provider Name | Ariana Mcintyre |
First Address | Cincinnati, OH 45263-1278 |
Second Address | Jacksonville, FL 32216-6242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2018 |
Last Update Date | 29/07/2021 |