Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | RBT1611894 | FL |
NPI | 1003267188 |
---|---|
Provider Name | Sabino Leal |
First Address | Homestead, FL 33033-1011 |
Second Address | Homestead, FL 33033-1011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2016 |
Last Update Date | 29/06/2016 |