Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1154959468 |
---|---|
Provider Name | Jade K Kau |
First Address | Lompoc, CA 93436-1922 |
Second Address | Lompoc, CA 93436-1922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2020 |
Last Update Date | 26/05/2021 |