Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003326257 |
---|---|
Provider Name | Cathleen Spagnuolo |
First Address | Palm Harbor, FL 34685-2357 |
Second Address | Palm Harbor, FL 34685-2357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2017 |
Last Update Date | 02/10/2017 |