Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | FL |
NPI | 1043729080 |
---|---|
Provider Name | George Zabala |
First Address | Wesley Chapel, FL 33543-5926 |
Second Address | Wesley Chapel, FL 33543-5926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2017 |
Last Update Date | 08/10/2019 |