Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-19-9584 | TX |
N | 106S00000X | Behavior Technician |
NPI | 1023526761 |
---|---|
Provider Name | Morgan Carolann Friday |
First Address | Temple, TX 76502-5976 |
Second Address | Waco, TX 76710-4020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2018 |
Last Update Date | 03/02/2021 |