Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst | FL |
NPI | 1083112197 |
---|---|
Provider Name | Damarys Rodriguez Cives |
First Address | Miramar, FL 33023-3511 |
Second Address | Miramar, FL 33023-3511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2018 |
Last Update Date | 25/01/2021 |