Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 2641 | TX |
N | 106S00000X | Behavior Technician |
NPI | 1003379199 |
---|---|
Provider Name | Jingmei Sun |
First Address | Irvine, CA 92606-2417 |
Second Address | San Jose, CA 95112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2019 |
Last Update Date | 20/08/2019 |