Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-16-23370 | FL |
NPI | 1003266735 |
---|---|
Provider Name | Ashley M Giebel |
First Address | Casselberry, FL 32707-5904 |
Second Address | Winter Park, FL 32792-2541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2016 |
Last Update Date | 14/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009093700 | (05) | FL |