Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | ||
Y | 106S00000X | Behavior Technician |
NPI | 1093350829 |
---|---|
Provider Name | Biayanis Quinones |
First Address | Worcester, MA 01605-3508 |
Second Address | Lunenburg, MA 01462-2167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2019 |
Last Update Date | 15/11/2019 |