Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 0-10-3926 | FL |
NPI | 1013200385 |
---|---|
Provider Name | Jennifer Espejo |
First Address | Hialeah, FL 33010-5252 |
Second Address | Doral, FL 33166-5455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2011 |
Last Update Date | 19/05/2011 |