Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-18-9316 | CA |
NPI | 1003373077 |
---|---|
Provider Name | Janice Ramilo |
First Address | Granada Hills, CA 91344-4627 |
Second Address | Granada Hills, CA 91344-4627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2019 |
Last Update Date | 08/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0-18-9318 | BEHAVIOR ANALYST CERTIFICATION BOARD (BACB) (01) | CA |