Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | FL |
NPI | 1003576380 |
---|---|
Provider Name | Heather Gashette |
First Address | Deerfield Beach, FL 33441-1817 |
Second Address | Deerfield Beach, FL 33441-1814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2021 |
Last Update Date | 28/12/2021 |