Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | FL | |
N | 106S00000X | Behavior Technician |
NPI | 1003468323 |
---|---|
Provider Name | Ninel Rey Valdivia |
First Address | Homestead, FL 33033-7197 |
Second Address | Homestead, FL 33033-7197 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2019 |
Last Update Date | 07/11/2020 |