Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 106E00000X | Assistant Behavior Analyst | 014-6383 | CO |
NPI | 1033412762 |
---|---|
Provider Name | Patima Saengpet |
First Address | Casselberry, FL 32707-5372 |
Second Address | Casselberry, FL 32707-5372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2010 |
Last Update Date | 30/12/2019 |