Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1174020267 |
---|---|
Provider Name | Fnan Gaim |
First Address | Pompano Beach, FL 33060-7543 |
Second Address | Fort Lauderdale, FL 33312-6216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2018 |
Last Update Date | 06/04/2018 |