Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003292376 |
---|---|
Provider Name | Jennifer Garcia |
First Address | West Palm Bch, FL 33401-4160 |
Second Address | West Palm Bch, FL 33401-4160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2015 |
Last Update Date | 10/08/2015 |