Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013296235 |
---|---|
Provider Name | Fatima Parker |
First Address | Boulder City, NV 89006-0100 |
Second Address | Boulder City, NV 89005-1614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2011 |
Last Update Date | 04/08/2011 |