Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-50452 | FL |
NPI | 1003339565 |
---|---|
Provider Name | Henry Orama |
First Address | Hialeah, FL 33013-2268 |
Second Address | Hialeah, FL 33013-2268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2017 |
Last Update Date | 22/06/2021 |