Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003387937 |
---|---|
Provider Name | Ashleigh Nicole Howick |
First Address | Walnut Creek, CA 94596-3897 |
Second Address | Walnut Creek, CA 94596-3897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2018 |
Last Update Date | 17/12/2018 |