Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-19-34746 | FL |
N | 106E00000X | Assistant Behavior Analyst | BCABA-0-17-7661 |
NPI | 1033566047 |
---|---|
Provider Name | Aylin Llano Gonzalez |
First Address | Miami, FL 33176-1061 |
Second Address | Miami, FL 33176-1061 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2016 |
Last Update Date | 26/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BCABA-0-17-7661 | BEHAVIOR ANALYST CERTIFICATION BOARD (01) |