Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1124602545 |
---|---|
Provider Name | Linda Yessica Mendez Ramirez |
First Address | Stuart, FL 34997 |
Second Address | Santa Rosa, CA 95404-6034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2021 |
Last Update Date | 11/05/2021 |