Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 0020551 | FL |
NPI | 1013151240 |
---|---|
Provider Name | Keri Dawn Robison |
First Address | Fort Myers, FL 33919-3516 |
Second Address | Fort Myers, FL 33919-3516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 01/05/2009 |