Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | CO |
NPI | 1043853062 |
---|---|
Provider Name | Ms. Rebecca M Herrera |
First Address | Woodland Hills, CA 91367-4976 |
Second Address | Aurora, CO 80014-1487 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2019 |
Last Update Date | 22/10/2019 |