Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-16-7462 | CA |
NPI | 1003351404 |
---|---|
Provider Name | Erin Dollar |
First Address | San Diego, CA 92123-1893 |
Second Address | San Diego, CA 92123-1893 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2016 |
Last Update Date | 21/12/2016 |