Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-20-11198 | FL |
N | 106S00000X | Behavior Technician |
NPI | 1003310624 |
---|---|
Provider Name | Lauren Quevedo Sanchez |
First Address | Miami, FL 33193-1336 |
Second Address | Miami, FL 33193-1336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2018 |
Last Update Date | 19/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024322400 | (05) | FL |