Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1053573295 |
---|---|
Provider Name | Marianne Elizabeth Byfield |
First Address | Longwood, FL 32750-6740 |
Second Address | Longwood, FL 32750-6740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 23/01/2017 |