Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | CA |
NPI | 1093287070 |
---|---|
Provider Name | Nathaniel Rowland |
First Address | Sonoma, CA 95476-7574 |
Second Address | Vallejo, CA 94590-5962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2019 |
Last Update Date | 01/01/2019 |