Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003404161 |
---|---|
Provider Name | Liz Amanda Llumbet |
First Address | Miami, FL 33145-2026 |
Second Address | Miami, FL 33193-5826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2021 |
Last Update Date | 05/01/2021 |