Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
N | 225CA2400X | Assistive Technology Practitioner | PA-2279 | OH |
N | 225CA2400X | Assistive Technology Practitioner | PA-2279 | PA |
N | 225CA2400X | Assistive Technology Practitioner | PA-2279 | VA |
N | 225CA2400X | Assistive Technology Practitioner | PA-2279 | WV |
N | 225CA2500X | Assistive Technology Supplier | PA-2279 | MD |
N | 225CA2500X | Assistive Technology Supplier | PA-2279 | OH |
N | 225CA2500X | Assistive Technology Supplier | PA-2279 | PA |
N | 225CA2500X | Assistive Technology Supplier | PA-2279 | VA |
N | 225CA2500X | Assistive Technology Supplier | PA-2279 | WV |
NPI | 1700136918 |
---|---|
Provider Name | Mrs. Maria Smith |
First Address | Mt Lebanon, PA 15228-1253 |
Second Address | Mt Lebanon, PA 15228-1419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2012 |
Last Update Date | 02/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1082811775 | GLC CERTIFICATION BY SPENCER INSTITUTE(GREEN LIVING) (01) | |
PA-2279(A) | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC (01) | MD |
PA-2279(A) | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC (01) | OH |
PA-2279(A) | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC (01) | PA |
PA-2279(A) | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC (01) | VA |
PA-2279(A) | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC (01) | WV |