Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1-20-43634 | FL |
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1174032031 |
---|---|
Provider Name | Ismery D Morales Martinez |
First Address | Miami, FL 33174-2343 |
Second Address | Miami, FL 33186-1515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2017 |
Last Update Date | 01/09/2021 |