Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003363771 |
---|---|
Provider Name | Lindsay Elliott |
First Address | Daytona Beach, FL 32119-1381 |
Second Address | Daytona Beach, FL 32119-1381 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2016 |
Last Update Date | 09/09/2016 |