Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | FL |
NPI | 1003248089 |
---|---|
Provider Name | Nicholas Falcone |
First Address | Doral, FL 33172-5925 |
Second Address | Doral, FL 33172-5925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2013 |
Last Update Date | 22/12/2015 |