Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1164918595 |
---|---|
Provider Name | Nariel Anselmo Juani |
First Address | Union City, CA 94587-2818 |
Second Address | Alameda, CA 94501-1188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2018 |
Last Update Date | 09/07/2018 |