Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-14-5838 | FL |
NPI | 1043555196 |
---|---|
Provider Name | Pablo Andres Pinero |
First Address | Miami, FL 33165-6235 |
Second Address | Miami, FL 33173-3038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2012 |
Last Update Date | 19/06/2019 |