Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003402728 |
---|---|
Provider Name | Emily Yolanda Escobar |
First Address | Norwalk, CA 90650-4881 |
Second Address | Norwalk, CA 90650-4881 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2020 |
Last Update Date | 16/12/2020 |