Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003326000 |
---|---|
Provider Name | Cathyannie Pierre Louis Seraphin |
First Address | Tampa, FL 33607-5999 |
Second Address | Venice, FL 34292-1650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2017 |
Last Update Date | 17/03/2018 |