Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst | ||
Y | 106S00000X | Behavior Technician | RBT-20-140117 | FL |
NPI | 1104368083 |
---|---|
Provider Name | Mrs. Chelsie Brewer |
First Address | Stuart, FL 34997-6826 |
Second Address | Jacksonville, FL 32210-1137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2016 |
Last Update Date | 21/10/2020 |