Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1134629231 |
---|---|
Provider Name | Ruth Delpe |
First Address | Fort Myers, FL 33907-7751 |
Second Address | Fort Myers, FL 33907-7751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2018 |
Last Update Date | 15/02/2018 |