Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-17-8417 |
NPI | 1093214082 |
---|---|
Provider Name | Ms. Brandi Webb |
First Address | California, MD 20619-3054 |
Second Address | California, MD 20619-3054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2018 |
Last Update Date | 06/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0-17-8417 | BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST (01) |