Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013311042 |
---|---|
Provider Name | Cinthya Idalgisa Tejeda |
First Address | Lawrence, MA 01841-4624 |
Second Address | Lawrence, MA 01841-4624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2014 |
Last Update Date | 20/10/2014 |