Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | 0-20-11200 | FL |
Y | 106S00000X | Behavior Technician | FL |
NPI | 1134637572 |
---|---|
Provider Name | Mrs. Lisbeth M Alvarez |
First Address | Cutler Bay, FL 33190-1086 |
Second Address | Miami, FL 33196-1508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2018 |
Last Update Date | 01/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103142400 | (05) | FL |