Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1-18-31307 | FL |
Y | 106E00000X | Assistant Behavior Analyst | 0188487 |
NPI | 1003245770 |
---|---|
Provider Name | Heather Lacharite |
First Address | Stuart, FL 34997-1531 |
Second Address | Stuart, FL 34997-7462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2013 |
Last Update Date | 22/11/2019 |