Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | R210-105-92-943-0 | FL |
Y | 106S00000X | Behavior Technician | R210105929430 | FL |
NPI | 1154826428 |
---|---|
Provider Name | Caitlin Elizabeth Rigby |
First Address | Hutchinson Island, FL 34949-1526 |
Second Address | Palm City, FL 34990-1962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2018 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R210105929430 | (05) | FL |