Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1041813 | MA |
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 9050 | MA |
NPI | 1184759524 |
---|---|
Provider Name | Dr. Nina J Pinnock |
First Address | Fall River, MA 02721-1733 |
Second Address | Fall River, MA 02721-1733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 20/09/2010 |