Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-56954 | FL |
NPI | 1003151721 |
---|---|
Provider Name | Cristina Chirino |
First Address | Davie, FL 33328-1915 |
Second Address | Davie, FL 33328-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2012 |
Last Update Date | 18/01/2022 |