Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1134603780 |
---|---|
Provider Name | Daisy Godinez-Romero |
First Address | Walnut Creek, CA 94598-2538 |
Second Address | Hayward, CA 94541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2018 |
Last Update Date | 29/10/2018 |