Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003386129 |
---|---|
Provider Name | Mr. Carlos Ernesto Armas |
First Address | Spring Valley, CA 91977-4913 |
Second Address | Spring Valley, CA 91977-4913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2018 |
Last Update Date | 01/12/2018 |