Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 106E00000X- | CA |
NPI | 1114503356 |
---|---|
Provider Name | Kate Brown |
First Address | Northridge, CA 91324-3811 |
Second Address | Northridge, CA 91324-3811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2021 |
Last Update Date | 18/03/2021 |