Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-54357 | FL |
N | 106E00000X | Assistant Behavior Analyst | 0-20-11490 | FL |
N | 106S00000X | Behavior Technician | -18-68197 | FL |
NPI | 1043865553 |
---|---|
Provider Name | Belkis Haydee Molina Rodriguez |
First Address | Hialeah, FL 33010-3331 |
Second Address | Hialeah, FL 33010-3331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2019 |
Last Update Date | 29/10/2021 |