Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | RBT-21-162072 | FL |
Y | 106S00000X | Behavior Technician | RBT-21-162072 | FL |
NPI | 1003494261 |
---|---|
Provider Name | Mrs. Marian Lashian Morris-Jones |
First Address | Lauderhill, FL 33311-4940 |
Second Address | Ft Lauderdale, FL 33317-5701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2021 |
Last Update Date | 04/04/2021 |