Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003266214 |
---|---|
Provider Name | Mrs. Paula Degarmo Sorica |
First Address | Plantation, FL 33324-1425 |
Second Address | Plantation, FL 33324-1425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2016 |
Last Update Date | 18/06/2016 |