Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-14-9554 |
NPI | 1003194176 |
---|---|
Provider Name | Ms. Yolanda Denise Orndoff |
First Address | Orlando, FL 32825-5520 |
Second Address | Orlando, FL 32825-5520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2011 |
Last Update Date | 26/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1-14-9554 | BACB (01) |