Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-13-14868 | CA |
NPI | 1013346675 |
---|---|
Provider Name | Maria Luisa Cortez Posada |
First Address | Long Beach, CA 90807-1114 |
Second Address | Brea, CA 92821-5312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2013 |
Last Update Date | 05/05/2016 |