Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-21-12781 | FL |
NPI | 1124629217 |
---|---|
Provider Name | Mari Araoz Canedo |
First Address | Miami, FL 33127-3167 |
Second Address | Miami, FL 33127-3167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2020 |
Last Update Date | 16/11/2021 |