Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | 20127344 |
NPI | 1003423856 |
---|---|
Provider Name | Deanna Purchiaroni |
First Address | Carlsbad, CA 92008-8816 |
Second Address | Carlsbad, CA 92008-8816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2020 |
Last Update Date | 25/09/2020 |