Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003375098 |
---|---|
Provider Name | Karen A Franco |
First Address | Glendale, CA 91205-1114 |
Second Address | Glendale, CA 91205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2019 |
Last Update Date | 21/03/2019 |