Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-19-36644 | FL |
NPI | 1003453614 |
---|---|
Provider Name | Paige Strickland |
First Address | Winter Park, FL 32789-5903 |
Second Address | Maitland, FL 32751-3422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2019 |
Last Update Date | 02/12/2019 |