Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1104314723 |
---|---|
Provider Name | Karen C Jones-Winstead |
First Address | Elmont, NY 11003-4501 |
Second Address | Bellmore, NY 11710-5730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2018 |
Last Update Date | 30/04/2018 |