Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | AB61158306 | WA |
N | 106S00000X | Behavior Technician | RBT-17-35743 | WA |
NPI | 1174030498 |
---|---|
Provider Name | Karen Nicole Herrera |
First Address | Stuart, FL 34997-7462 |
Second Address | Seattle, WA 98101-1257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2018 |
Last Update Date | 16/07/2021 |