Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
N | 103TH0100X | Health Service | ||
N | 106E00000X | Assistant Behavior Analyst | ||
N | 106S00000X | Behavior Technician | ||
Y | 106S00000X | Behavior Technician | RBT-19-98401 | GA |
NPI | 1346899390 |
---|---|
Provider Name | Florence Namuhoranye |
First Address | Portland, ME 04101-2263 |
Second Address | Portland, ME 04101-2263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2019 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1888330 | STATE ID (01) | ME |