Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-20-11178 | CA |
N | 106S00000X | Behavior Technician | RBT-17-41856 | CA |
NPI | 1083175798 |
---|---|
Provider Name | Lucero Rodriguez Pulido |
First Address | Salinas, CA 93901-4450 |
Second Address | Salinas, CA 93901-4450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2019 |
Last Update Date | 14/07/2020 |