Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-54762 | FL |
N | 106E00000X | Assistant Behavior Analyst | 0-20-10996 | FL |
N | 106S00000X | Behavior Technician | RBT-18-58235 | FL |
NPI | 1013454750 |
---|---|
Provider Name | Ms. Yaima Larin Fonseca |
First Address | Naples, FL 34109-8875 |
Second Address | Naples, FL 34109-8875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2017 |
Last Update Date | 06/12/2021 |