Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | TX |
NPI | 1003311796 |
---|---|
Provider Name | Natalie Mcfadden |
First Address | Irvine, CA 92606-2417 |
Second Address | El Paso, TX 79912-5568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2018 |
Last Update Date | 26/03/2018 |