Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | C69648754 | VA |
NPI | 1003448424 |
---|---|
Provider Name | Eve Giordano |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Arlington, VA 22203-2486 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2020 |
Last Update Date | 05/02/2020 |