Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1154841104 |
---|---|
Provider Name | Gabriela James |
First Address | Maitland, FL 32751-7415 |
Second Address | Orlando, FL 32810-5915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2017 |
Last Update Date | 12/06/2019 |