Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013224070 |
---|---|
Provider Name | Mrs. Diana Lovato |
First Address | Sacramento, CA 95841-4139 |
Second Address | Sacramento, CA 95841-4139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2010 |
Last Update Date | 10/09/2010 |