Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003414285 |
---|---|
Provider Name | Ramya Kannan |
First Address | Cupertino, CA 95014-3817 |
Second Address | Santa Clara, CA 95050-5485 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2020 |
Last Update Date | 11/10/2020 |