Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 3714 | TX |
NPI | 1164015079 |
---|---|
Provider Name | Biboye Joy Oye |
First Address | Stuart, FL 34997-7462 |
Second Address | Irving, TX 75039-3602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2021 |
Last Update Date | 11/02/2021 |