Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1124503727 |
---|---|
Provider Name | Gunvinder Kang |
First Address | Mountain House, CA 95391-1314 |
Second Address | Hayward, CA 94541-4113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2018 |
Last Update Date | 28/09/2018 |