Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-53489 | FL |
N | 106E00000X | Assistant Behavior Analyst | 0-18-8911 | FL |
NPI | 1023466687 |
---|---|
Provider Name | Caridad R Zamora |
First Address | Miami, FL 33196-6100 |
Second Address | Miami, FL 33196-6100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2016 |
Last Update Date | 03/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018078200 | (05) | FL |