Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1063956514 |
---|---|
Provider Name | Maria Anali Casarrubiasramirez |
First Address | Fayetteville, NC 28304-4457 |
Second Address | Fayetteville, NC 28304-4457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2016 |
Last Update Date | 16/12/2016 |