Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-19-9755 | FL |
NPI | 1033615141 |
---|---|
Provider Name | Evelyn Rosales Oliva |
First Address | Cutler Bay, FL 33189-3313 |
Second Address | Miami, FL 33186-4648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2018 |
Last Update Date | 08/10/2019 |