Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1033639737 |
---|---|
Provider Name | Maribel Oliva Rodriguez |
First Address | Miami Beach, FL 33141-2011 |
Second Address | Miami Beach, FL 33141-2011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2017 |
Last Update Date | 23/06/2017 |