Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-11-4013 | OH |
NPI | 1053955443 |
---|---|
Provider Name | Carolline Turnbull |
First Address | Streetsboro, OH 44241-4355 |
Second Address | Streetsboro, OH 44241-4355 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2019 |
Last Update Date | 29/10/2019 |