Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1124790613 |
---|---|
Provider Name | Robin Fitzsimmons |
First Address | Davie, FL 33328-1915 |
Second Address | Davie, FL 33328-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2021 |
Last Update Date | 02/10/2021 |