Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1154865889 |
---|---|
Provider Name | Josey Savinon |
First Address | Bronx, NY 10465-2320 |
Second Address | Bronx, NY 10465-2320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2016 |
Last Update Date | 14/12/2016 |