Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-12-12674 |
NPI | 1013261114 |
---|---|
Provider Name | Mrs. Kimberly Majercik Van Noy |
First Address | Opelika, AL 36804-3226 |
Second Address | Opelika, AL 36804-3226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2012 |
Last Update Date | 06/05/2021 |