Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | ||
Y | 106S00000X | Behavior Technician |
NPI | 1083218796 |
---|---|
Provider Name | Rosalyn Laverne Singleton |
First Address | Vallejo, CA 94591-6938 |
Second Address | Alameda, CA 94501-1188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2020 |
Last Update Date | 24/11/2020 |