Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst | 02010805 | FL |
N | 106S00000X | Behavior Technician |
NPI | 1093164469 |
---|---|
Provider Name | Elaine Morales Fraginals |
First Address | Homestead, FL 33032-6354 |
Second Address | Homestead, FL 33032-6354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 21/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017655700 | (05) | FL |