Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 02112124 | FL |
NPI | 1043720519 |
---|---|
Provider Name | Elibel Barbara Atala |
First Address | Miami, FL 33185-5213 |
Second Address | Miami, FL 33185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2017 |
Last Update Date | 30/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
022641400 | (05) | FL |
RBT-18-54411 | BEHAVIOR ANALYST CERTIFICATION BOARD (01) |