Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003292582 |
---|---|
Provider Name | Molly Beth Monaco |
First Address | Deerfield Beach, FL 33441-1814 |
Second Address | Baton Rouge, LA 70809-0200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2015 |
Last Update Date | 06/08/2015 |