Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0134000256 | VA |
NPI | 1053774182 |
---|---|
Provider Name | Mrs. Ciara Lindsey Parsolano |
First Address | Virginia Beach, VA 23452-1900 |
Second Address | Virginia Beach, VA 23452-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 27/02/2019 |