Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | LA | |
Y | 106E00000X | Assistant Behavior Analyst | LA | |
N | 106S00000X | Behavior Technician | LA |
NPI | 1043851843 |
---|---|
Provider Name | Hollee Gindavanh Nitchin |
First Address | Woodland Hills, CA 91367-4976 |
Second Address | Baton Rouge, LA 70802-6433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 02/10/2019 |