Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003348202 |
---|---|
Provider Name | Rita Ann Bradshaw Mckerring |
First Address | Deerfield Beach, FL 33441-1814 |
Second Address | San Diego, CA 92101-3536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 28/03/2017 |