Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1013467422 |
---|---|
Provider Name | Diana Couvertier |
First Address | Bronx, NY 10465-1916 |
Second Address | Bronx, NY 10465-1916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2016 |
Last Update Date | 08/11/2016 |