Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-12-12353 |
NPI | 1003160037 |
---|---|
Provider Name | Kristin Ojala |
First Address | Pleasanton, CA 94588-3274 |
Second Address | Pleasanton, CA 94588-3274 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2012 |
Last Update Date | 29/10/2012 |