Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003378480 |
---|---|
Provider Name | Helen Bekeret Haile |
First Address | Irvine, CA 92606-2417 |
Second Address | Santa Rosa, CA 95401-4609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2019 |
Last Update Date | 03/04/2019 |