Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003355736 |
---|---|
Provider Name | Ernestina Morales |
First Address | El Cajon, CA 92020-5212 |
Second Address | El Cajon, CA 92020-5212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2017 |
Last Update Date | 14/02/2017 |