Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013320084 |
---|---|
Provider Name | Ms. Cynthia Marcotte |
First Address | Clermont, FL 34715-6819 |
Second Address | Howey In The Hills, FL 34737-3500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2014 |
Last Update Date | 24/01/2019 |