Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1164912713 |
---|---|
Provider Name | Mrs. Elise K Hester |
First Address | Royal Oak, MI 48073-6515 |
Second Address | Royal Oak, MI 48073-6515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2018 |
Last Update Date | 18/05/2018 |