Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-17-44128 | CA |
NPI | 1003383076 |
---|---|
Provider Name | Falicia Schuman |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Woodland, CA 95695-3686 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2018 |
Last Update Date | 29/10/2018 |