Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | FL |
NPI | 1043762024 |
---|---|
Provider Name | Ivania Arenas Eliot |
First Address | Miami, FL 33173-3630 |
Second Address | Miami, FL 33173-3630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2016 |
Last Update Date | 26/08/2019 |