Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | IL |
NPI | 1003587445 |
---|---|
Provider Name | Miss Cari Romany |
First Address | Woodland Hills, CA 91367 |
Second Address | Oak Park, IL 60304-1845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2021 |
Last Update Date | 24/09/2021 |