Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003368390 |
---|---|
Provider Name | Fatima C Sayles |
First Address | Deerfield Beach, FL 33441-1814 |
Second Address | Raleigh, NC 27601-1792 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2016 |
Last Update Date | 02/11/2016 |