Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-43843 | FL |
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1053554832 |
---|---|
Provider Name | Kendra Lalinde |
First Address | Boca Raton, FL 33433-6841 |
Second Address | Fort Lauderdale, FL 33309-1113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2009 |
Last Update Date | 07/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0-04-1378 | BACB (01) | FL |
1-20-43843 | BACB (01) | FL |