Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst | ||
Y | 106S00000X | Behavior Technician |
NPI | 1134607039 |
---|---|
Provider Name | Mr. Orlando Adiel Caballero |
First Address | Hollywood, FL 33021-3656 |
Second Address | Hollywood, FL 33021-3656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2018 |
Last Update Date | 07/10/2019 |