Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 106E00000X | Assistant Behavior Analyst | 0-21-12383 | FL |
NPI | 1053848267 |
---|---|
Provider Name | Maylin Seijas Pazos |
First Address | Miami, FL 33126-3427 |
Second Address | Miami, FL 33126-3427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2017 |
Last Update Date | 02/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020973600 | (05) | FL |