Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013300573 |
---|---|
Provider Name | Katie Adams |
First Address | Coral Springs, FL 33065-4162 |
Second Address | Coral Springs, FL 33065-4162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2015 |
Last Update Date | 09/03/2015 |