Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1104371129 |
---|---|
Provider Name | Ivon Morales Navarro |
First Address | Miami, FL 33186-7294 |
Second Address | Miami, FL 33186-7294 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2016 |
Last Update Date | 15/01/2019 |